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["Press UP, DOWN, LEFT RIGHT arrows in Column A to read through document. Document ordered by the county code in column A smallest to largest. Headers contain filters buttons"]
["County Code","County Name","Provider Type","Procedure Code","Hourly Rate","Time Basis","Place Of Service","Modifier","Drug Type","Type of Service ","Service Description","Flate Rate","Max Allowed Rate Per Unit","Monthly Rate","Effective Start Date","Effective End Date"]
[1,"Alameda","Certified AOD Counselor",90785,390.07,"N/A","N/A","N/A","N/A","Supplemental","Interactive complexity. There is no assigned time for this code. ","N/A",18.89,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Certified AOD Counselor",90882,390.07,15,"N/A","N/A","N/A","Care Coordination","Environmental intervention for medical management purposes on a psychiatric patient's behalf with agencies, employers, or institutions, 15 minutes","N/A",97.52,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Certified AOD Counselor","G0396",390.07,23,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 15-30 Minutes","N/A",149.53,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Certified AOD Counselor","G0397",390.07,60,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 31-1440 Minutes","N/A",390.07,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Certified AOD Counselor","G2011",390.07,10,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 5-14 Minutes","N/A",65.010000000000005,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Certified AOD Counselor","H0001",390.07,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug assessment, 15 minutes","N/A",97.52,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Certified AOD Counselor","H0004",390.07,15,"N/A","N/A","N/A","Individual Counseling","Behavioral health counseling and therapy, 15 minutes","N/A",97.52,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Certified AOD Counselor","H0005",390.07,15,"N/A","N/A","N/A","Group Counseling","Alcohol and/or drug services; group counseling by a clinician, 15 minutes ","N/A",21.67,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Certified AOD Counselor","H0007",390.07,15,"N/A","N/A","N/A","Crisis Intervention","Alcohol and/or drug services; crisis intervention (outpatient), 15 minutes","N/A",97.52,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Certified AOD Counselor","H0049",390.07,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening, 15 minutes","N/A",97.52,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Certified AOD Counselor","H0050",390.07,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or Drug Services, brief intervention, 15 minutes","N/A",97.52,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Certified AOD Counselor","H1000",390.07,15,"N/A","N/A","N/A","Assessment","Prenatal Care, at risk assessment, 15 minutes ","N/A",97.52,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Certified AOD Counselor","H2014",390.07,15,"N/A","HQ","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",21.67,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Certified AOD Counselor","H2014",390.07,15,"N/A","N/A","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",97.52,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Certified AOD Counselor","H2015",390.07,15,"N/A","N/A","N/A","Recovery","Comprehensive community support services, 15 minutes","N/A",97.52,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Certified AOD Counselor","H2017",390.07,15,"N/A","HQ","N/A","Recovery","Psychosocial rehabilitation services, 15 Minutes","N/A",21.67,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Certified AOD Counselor","H2017",390.07,15,"N/A","N/A","N/A","Recovery","Psychosocial rehabilitation services, 15 Minutes","N/A",97.52,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Certified AOD Counselor","H2021",390.07,15,"N/A","N/A","N/A","Treatment Planning","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",97.52,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Certified AOD Counselor","H2027",390.07,15,"N/A","N/A","N/A","Treatment Planning","Psychoeducational Service, 15 minutes","N/A",97.52,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Certified AOD Counselor","H2035",390.07,60,"N/A","N/A","N/A","Recovery","Alcohol and/or other drug treatment program, per hour ","N/A",390.07,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Certified AOD Counselor","T1006",390.07,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or substance abuse services, family/couple counseling, 15 minutes","N/A",97.52,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Certified AOD Counselor","T1007",390.07,15,"N/A","N/A","N/A","Treatment Planning","Alcohol and/or substance abuse services, treatment plan development and/or modification, 15 minutes","N/A",97.52,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Certified AOD Counselor","T1013",390.07,"N/A","N/A","N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Certified AOD Counselor","T1017",390.07,15,"N/A","N/A","N/A","Care Coordination","Targeted case management, 15 minutes","N/A",97.52,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Certified AOD Counselor","T2024",390.07,15,"N/A","N/A","N/A","Assessment","Assessment substitute, 15 minutes","N/A",97.52,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Community Health Worker",98960,362.65,30,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Community Health Worker",98961,362.65,30,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Community Health Worker",98962,362.65,30,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Community Health Worker","G0019",362.65,60,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Community Health Worker","G0022",362.65,30,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","LCSW (Licensed, Waivered or Registered)",90785,470.26,"N/A","N/A","N/A","N/A","Supplemental","Interactive complexity. There is no assigned time for this code. ","N/A",18.89,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","LCSW (Licensed, Waivered or Registered)",90791,470.26,60,"N/A","N/A","N/A","Assessment","Psychiatric diagnostic evaluation, 60 minutes","N/A",470.26,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","LCSW (Licensed, Waivered or Registered)",90846,470.26,50,"N/A","N/A","N/A","Family Therapy","Family Psychotherapy (Without the Patient Present), 50 minutes","N/A",391.88,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","LCSW (Licensed, Waivered or Registered)",90847,470.26,50,"N/A","N/A","N/A","Family Therapy","Family Psychotherapy (Conjoint psychotheraphy with Patient Present), 50 minutes","N/A",391.88,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","LCSW (Licensed, Waivered or Registered)",90849,470.26,84,"N/A","N/A","N/A","Family Therapy","Multiple-family group psychotherapy, 84 minutes","N/A",146.30000000000001,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","LCSW (Licensed, Waivered or Registered)",90882,470.26,15,"N/A","N/A","N/A","Care Coordination","Environmental intervention for medical management purposes on a psychiatric patient's behalf with agencies, employers, or institutions, 15 minutes","N/A",117.57,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","LCSW (Licensed, Waivered or Registered)",90885,470.26,60,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","LCSW (Licensed, Waivered or Registered)",90887,470.26,50,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","LCSW (Licensed, Waivered or Registered)",90889,470.26,15,"N/A","N/A","N/A","Care Coordination","Preparation of report of patient's psychiatric status, history, treatment, or progress (other than for legal or consultative purposes) for other individuals, agencies, or insurance carriers, 15 minutes","N/A",117.57,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","LCSW (Licensed, Waivered or Registered)",96160,470.26,15,"N/A","N/A","N/A","Care Coordination","Administration of patient-focused health risk assessment instrument (eg, health hazard appraisal) with scoring and documentation, per standardized instrument, 15 minutes","N/A",117.57,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","LCSW (Licensed, Waivered or Registered)",96170,470.26,30,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; initial 30 minutes","N/A",235.13,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","LCSW (Licensed, Waivered or Registered)",96171,470.26,15,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; each additional 15 minutes","N/A",117.57,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","LCSW (Licensed, Waivered or Registered)",96202,470.26,60,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","LCSW (Licensed, Waivered or Registered)",96203,470.26,15,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","LCSW (Licensed, Waivered or Registered)",97550,470.26,23,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","LCSW (Licensed, Waivered or Registered)",97551,470.26,15,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","LCSW (Licensed, Waivered or Registered)",97552,470.26,45,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","LCSW (Licensed, Waivered or Registered)",98966,470.26,8,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","LCSW (Licensed, Waivered or Registered)",98967,470.26,16,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","LCSW (Licensed, Waivered or Registered)",98968,470.26,26,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","LCSW (Licensed, Waivered or Registered)",99368,470.26,60,"N/A","N/A","N/A","Care Coordination","Medical team conference with interdisciplinary team of health care professionals, patient and/or family not present, 30-1440 minutes; participation by nonphysician qualified health care professional","N/A",470.26,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","LCSW (Licensed, Waivered or Registered)","G0323",470.26,60,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","LCSW (Licensed, Waivered or Registered)","G0396",470.26,23,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 15-30 Minutes","N/A",180.27,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","LCSW (Licensed, Waivered or Registered)","G0397",470.26,60,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 31-1440 Minutes","N/A",470.26,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","LCSW (Licensed, Waivered or Registered)","G0539",470.26,23,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","LCSW (Licensed, Waivered or Registered)","G0540",470.26,15,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","LCSW (Licensed, Waivered or Registered)","G0541",470.26,23,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","LCSW (Licensed, Waivered or Registered)","G0542",470.26,15,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","LCSW (Licensed, Waivered or Registered)","G0543",470.26,45,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","LCSW (Licensed, Waivered or Registered)","G2011",470.26,10,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 5-14 Minutes","N/A",78.38,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","LCSW (Licensed, Waivered or Registered)","H0001",470.26,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug assessment, 15 minutes","N/A",117.57,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","LCSW (Licensed, Waivered or Registered)","H0004",470.26,15,"N/A","N/A","N/A","Individual Counseling","Behavioral health counseling and therapy, 15 minutes","N/A",117.57,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","LCSW (Licensed, Waivered or Registered)","H0005",470.26,15,"N/A","N/A","N/A","Group Counseling","Alcohol and/or drug services; group counseling by a clinician, 15 minutes ","N/A",26.13,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","LCSW (Licensed, Waivered or Registered)","H0007",470.26,15,"N/A","N/A","N/A","Crisis Intervention","Alcohol and/or drug services; crisis intervention (outpatient), 15 minutes","N/A",117.57,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","LCSW (Licensed, Waivered or Registered)","H0049",470.26,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening, 15 minutes","N/A",117.57,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","LCSW (Licensed, Waivered or Registered)","H0050",470.26,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or Drug Services, brief intervention, 15 minutes","N/A",117.57,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","LCSW (Licensed, Waivered or Registered)","H1000",470.26,15,"N/A","N/A","N/A","Assessment","Prenatal Care, at risk assessment, 15 minutes ","N/A",117.57,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","LCSW (Licensed, Waivered or Registered)","H2014",470.26,15,"N/A","HQ","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",26.13,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","LCSW (Licensed, Waivered or Registered)","H2014",470.26,15,"N/A","N/A","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",117.57,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","LCSW (Licensed, Waivered or Registered)","H2015",470.26,15,"N/A","N/A","N/A","Recovery","Comprehensive community support services, 15 minutes","N/A",117.57,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","LCSW (Licensed, Waivered or Registered)","H2017",470.26,15,"N/A","HQ","N/A","Recovery","Psychosocial rehabilitation services, 15 Minutes","N/A",26.13,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","LCSW (Licensed, Waivered or Registered)","H2017",470.26,15,"N/A","N/A","N/A","Recovery","Psychosocial rehabilitation services, 15 Minutes","N/A",117.57,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","LCSW (Licensed, Waivered or Registered)","H2021",470.26,15,"N/A","N/A","N/A","Treatment Planning","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",117.57,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","LCSW (Licensed, Waivered or Registered)","H2027",470.26,15,"N/A","N/A","N/A","Treatment Planning","Psychoeducational Service, 15 minutes","N/A",117.57,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","LCSW (Licensed, Waivered or Registered)","H2035",470.26,60,"N/A","N/A","N/A","Recovery","Alcohol and/or other drug treatment program, per hour ","N/A",470.26,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","LCSW (Licensed, Waivered or Registered)","T1006",470.26,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or substance abuse services, family/couple counseling, 15 minutes","N/A",117.57,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","LCSW (Licensed, Waivered or Registered)","T1007",470.26,15,"N/A","N/A","N/A","Treatment Planning","Alcohol and/or substance abuse services, treatment plan development and/or modification, 15 minutes","N/A",117.57,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","LCSW (Licensed, Waivered or Registered)","T1013",470.26,"N/A","N/A","N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","LCSW (Licensed, Waivered or Registered)","T1017",470.26,15,"N/A","N/A","N/A","Care Coordination","Targeted case management, 15 minutes","N/A",117.57,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","LCSW (Licensed, Waivered or Registered)","T2021",470.26,15,"N/A","HQ","N/A","Family Therapy","Therapy substitute, 15 minutes","N/A",26.13,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","LCSW (Licensed, Waivered or Registered)","T2021",470.26,15,"N/A","N/A","N/A","Family Therapy","Therapy substitute, 15 minutes","N/A",117.57,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","LCSW (Licensed, Waivered or Registered)","T2021",470.26,15,"N/A",22,"N/A","Family Therapy","Therapy substitute, 15 minutes","N/A",120.58,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","LCSW (Licensed, Waivered or Registered)","T2024",470.26,15,"N/A","N/A","N/A","Assessment","Assessment substitute, 15 minutes","N/A",117.57,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",90785,1806.94,"N/A","N/A","N/A","N/A","Supplemental","Interactive complexity. There is no assigned time for this code. ","N/A",18.89,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",90791,1806.94,60,"N/A","N/A","N/A","Assessment","Psychiatric diagnostic evaluation, 60 minutes","N/A",1806.94,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",90792,1806.94,60,"N/A","N/A","N/A","Assessment","Psychiatric diagnostic evaluation with medical services, 60 minutes","N/A",1806.94,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",90846,1806.94,50,"N/A","N/A","N/A","Family Therapy","Family Psychotherapy (Without the Patient Present), 50 minutes","N/A",1505.78,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",90847,1806.94,50,"N/A","N/A","N/A","Family Therapy","Family Psychotherapy (Conjoint psychotheraphy with Patient Present), 50 minutes","N/A",1505.78,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",90849,1806.94,84,"N/A","N/A","N/A","Family Therapy","Multiple-family group psychotherapy, 84 minutes","N/A",562.16,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",90865,1806.94,90,"N/A","N/A","N/A","Assessment","Nacrosynthesis for psychiatric diagnostic and therapeutic purposes (eg, sodium amobarbital (Amytal) interview), 90 minutes","N/A",2710.41,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",90882,1806.94,15,"N/A","N/A","N/A","Care Coordination","Environmental intervention for medical management purposes on a psychiatric patient's behalf with agencies, employers, or institutions, 15 minutes","N/A",451.74,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",90885,1806.94,60,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",90887,1806.94,50,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",90889,1806.94,15,"N/A","N/A","N/A","Care Coordination","Preparation of report of patient's psychiatric status, history, treatment, or progress (other than for legal or consultative purposes) for other individuals, agencies, or insurance carriers, 15 minutes","N/A",451.74,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",96130,1806.94,60,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",96131,1806.94,60,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",96160,1806.94,15,"N/A","N/A","N/A","Care Coordination","Administration of patient-focused health risk assessment instrument (eg, health hazard appraisal) with scoring and documentation, per standardized instrument, 15 minutes","N/A",451.74,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",96170,1806.94,30,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; initial 30 minutes","N/A",903.47,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",96171,1806.94,15,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; each additional 15 minutes","N/A",451.74,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",96202,1806.94,60,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",96203,1806.94,15,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",97550,1806.94,23,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",97551,1806.94,15,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",97552,1806.94,45,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",99202,1806.94,22,"N/A","N/A","N/A","Assessment","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. 15-29 minutes total time on the date of the encounter.","N/A",662.54,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",99203,1806.94,37,"N/A","N/A","N/A","Assessment","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. 30-44 minutes total time on the date of the encounter.","N/A",1114.28,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",99204,1806.94,52,"N/A","N/A","N/A","Assessment","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. 45-59 minutes total time on the date of the encounter.","N/A",1566.01,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",99205,1806.94,67,"N/A","N/A","N/A","Assessment","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. 60-74 minutes total time on the date of the encounter.","N/A",2017.75,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",99212,1806.94,15,"N/A","N/A","N/A","Assessment","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. 10-19 minutes total time on the date of the encounter.","N/A",451.74,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",99213,1806.94,25,"N/A","N/A","N/A","Assessment","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. 20-29 minutes total time on the date of the encounter.","N/A",752.89,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",99214,1806.94,35,"N/A","N/A","N/A","Assessment","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. 30-39 minutes total time on the date of the encounter.","N/A",1054.05,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",99215,1806.94,47,"N/A","N/A","N/A","Assessment","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. 40-54 minutes total time on the date of the encounter.","N/A",1415.44,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",99234,1806.94,57,"N/A","N/A","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. 45-69 minutes total time on the date of the encounter.","N/A",1716.59,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",99235,1806.94,77,"N/A","N/A","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. 70-84 minutes total time on the date of the encounter.","N/A",2318.91,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",99236,1806.94,92,"N/A","N/A","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. 85-99 minutes total time on the date of the encounter.","N/A",2770.64,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",99238,1806.94,30,"N/A","N/A","N/A","Discharge","Hospital inpatient or observation discharge day management; 30 minutes or less on the date of the encounter","N/A",903.47,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",99239,1806.94,60,"N/A","N/A","N/A","Discharge","Hospital inpatient or observation discharge day management; 30-1440 minutes on the date of the encounter","N/A",1806.94,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",99304,1806.94,30,"N/A","N/A","N/A","Assessment","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. 25-34 minutes total time on the date of the encounter.","N/A",903.47,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",99305,1806.94,42,"N/A","N/A","N/A","Assessment","\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. 35-49 minutes total time on the date of the encounter.","N/A",1264.8599999999999,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",99306,1806.94,57,"N/A","N/A","N/A","Assessment","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. 50-64 minutes total time on the date of the encounter.","N/A",1716.59,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",99307,1806.94,15,"N/A","N/A","N/A","Assessment","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. 10-19 minutes total time on the date of the encounter for code selection.","N/A",451.74,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",99308,1806.94,25,"N/A","N/A","N/A","Assessment","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. 20-29 minutes total time on the date of the encounter.","N/A",752.89,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",99309,1806.94,37,"N/A","N/A","N/A","Assessment","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. 30-44 minutes total time on the date of the encounter.\t","N/A",1114.28,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",99310,1806.94,52,"N/A","N/A","N/A","Assessment","\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. 45-59 minutes total time on the date of the encounter.","N/A",1566.01,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",99341,1806.94,22,"N/A","N/A","N/A","Assessment","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. 15-29 minutes total time on the date of the encounter.","N/A",662.54,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",99342,1806.94,45,"N/A","N/A","N/A","Assessment","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. 30-59 minutes total time on the date of the encounter.","N/A",1355.21,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",99344,1806.94,67,"N/A","N/A","N/A","Assessment","\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. 60-74 minutes total time on the date of the encounter.","N/A",2017.75,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",99345,1806.94,82,"N/A","N/A","N/A","Assessment","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. 75-89 minutes total time on the date of the encounter.","N/A",2469.48,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",99347,1806.94,25,"N/A","N/A","N/A","Assessment","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. 20-29 minutes total time on the date of the encounter.","N/A",752.89,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",99348,1806.94,35,"N/A","N/A","N/A","Assessment","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. 30-39 minutes total time on the date of the encounter.","N/A",1054.05,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",99349,1806.94,50,"N/A","N/A","N/A","Assessment","\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. 40-59 minutes total time on the date of the encounter.","N/A",1505.78,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",99350,1806.94,67,"N/A","N/A","N/A","Assessment","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. 60-74 minutes total time on the date of the encounter.","N/A",2017.75,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",99367,1806.94,60,"N/A","N/A","N/A","Care Coordination","Medical team conference with interdisciplinary team of health care professionals, patient and/or family not present, 30-1440 minutes; participation by physician","N/A",1806.94,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",99408,1806.94,23,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or substance (other than tobacco) abuse structural screening (eg, AUDIT ,DAST), and brief intervention (SBI) services. 15-30 minutes. ","N/A",692.66,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",99409,1806.94,60,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or substance (other than tobacco) abuse structural screening (eg, AUDIT ,DAST), and brief intervention (SBI) services. 31-1440 minutes. ","N/A",1806.94,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",99415,1806.94,60,"N/A","N/A","N/A","Assessment","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",99416,1806.94,30,"N/A","N/A","N/A","Assessment","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",99417,1806.94,15,"N/A","N/A","N/A","Assessment","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 (This code does not follow the midpoint rule. A  full 15 minutes must be met before one unit of 99417 can be claimed).","N/A",451.74,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",99418,1806.94,15,"N/A","N/A","N/A","Assessment","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 (This code does not follow the midpoint rule. A full 15 minutes must be met before one unit of 99418 can be claimed).","N/A",451.74,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",99424,1806.94,30,"N/A","N/A","N/A","Care Coordination","Principal care management services, for a single high-risk disease, first 30 minutes provided personally by a physician or other qualified health care professional, per calendar month. At least 30 minutes of service must be provided before 1 unit of this code can be reported.","N/A",903.47,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",99425,1806.94,30,"N/A","N/A","N/A","Care Coordination","Principal care management services, for a single high-risk disease, each additional 30 minutes provided personally by a physician or other qualified health care professional, per calendar month. Code 99425 is reported in conjunction with 99424, when at least an additional 30 minutes of service time is provided beyond 99424.","N/A",903.47,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",99437,1806.94,30,"N/A","N/A","N/A","Care Coordination","Chronic care management services, each additional 30 minutes by a physician or other qualified health care professional, per calendar month. Code 99437 is reported in conjunction with 99491, when at least an additional 30 minutes of service time is provided beyond 99491.","N/A",903.47,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",99441,1806.94,8,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",99442,1806.94,16,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",99443,1806.94,26,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",99451,1806.94,18,"N/A","N/A","N/A","Care Coordination","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",99491,1806.94,30,"N/A","N/A","N/A","Care Coordination","Chronic care management services, first 30 minutes provided personally by a physician or other qualified health care professional, per calendar month. At least 30 minutes of service must be provided before 1 unit of this code can be reported.","N/A",903.47,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",99495,1806.94,54,"N/A","N/A","N/A","Discharge","Transitional Care Management Services with the following required elements: Communication (direct contact, telephone, electronic) with the patient and/or caregiver within 2 business days of discharge. Medical decision making of at least moderate complexity during the service period, face-to-face visit within 14 calendar days of discharge, 54 minutes","N/A",1626.25,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician",99496,1806.94,75,"N/A","N/A","N/A","Discharge","Transitional Care Management Services with the following required elements: Communication (direct contact, telephone, electronic) with the patient and/or caregiver within 2 business days of discharge. Medical decision making of high complexity during the service period, face-to-face visit within 7 calendar days of discharge, 75 minutes","N/A",2258.6799999999998,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician","G0316",1806.94,15,"N/A","N/A","N/A","Assessment","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician","G0396",1806.94,23,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 15-30 Minutes","N/A",692.66,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician","G0397",1806.94,60,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 31-1440 Minutes","N/A",1806.94,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician","G0539",1806.94,23,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician","G0540",1806.94,15,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician","G0541",1806.94,23,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician","G0542",1806.94,15,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician","G0543",1806.94,45,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician","G2011",1806.94,10,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 5-14 Minutes","N/A",301.16000000000003,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician","H0001",1806.94,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug assessment, 15 minutes","N/A",451.74,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician","H0003",1806.94,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening. Laboratory analysis of specimens for presence of alcohol and/or drugs, 15 minutes","N/A",451.74,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician","H0004",1806.94,15,"N/A","N/A","N/A","Individual Counseling","Behavioral health counseling and therapy, 15 minutes","N/A",451.74,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician","H0005",1806.94,15,"N/A","N/A","N/A","Group Counseling","Alcohol and/or drug services; group counseling by a clinician, 15 minutes ","N/A",100.39,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician","H0007",1806.94,15,"N/A","N/A","N/A","Crisis Intervention","Alcohol and/or drug services; crisis intervention (outpatient), 15 minutes","N/A",451.74,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician","H0008",1806.94,15,"N/A","N/A","N/A","Recovery","Alcohol and/or drug services: (hospital inpatient) Subacute detoxification, 15 minutes","N/A",451.74,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician","H0009",1806.94,15,"N/A","N/A","N/A","Recovery","Alcohol and/or drug services:  (hospital inpatient) Acute detoxification, 15 minutes","N/A",451.74,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician","H0033",1806.94,15,"N/A","N/A","N/A","Medication Services","Medication administration, direct observation, 15 minutes","N/A",451.74,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician","H0034",1806.94,15,"N/A","HQ","N/A","Medication Services","Medication training and support, 15 minutes","N/A",100.39,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician","H0034",1806.94,15,"N/A","N/A","N/A","Medication Services","Medication training and support, 15 minutes","N/A",451.74,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician","H0048",1806.94,15,"N/A","N/A","N/A","Assessment","Alcohol and/or other drug testing. Collection and handling only, specimens other than blood, 15 minutes","N/A",451.74,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician","H0049",1806.94,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening, 15 minutes","N/A",451.74,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician","H0050",1806.94,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or Drug Services, brief intervention, 15 minutes","N/A",451.74,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician","H1000",1806.94,15,"N/A","N/A","N/A","Assessment","Prenatal Care, at risk assessment, 15 minutes ","N/A",451.74,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician","H2014",1806.94,15,"N/A","HQ","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",100.39,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician","H2014",1806.94,15,"N/A","N/A","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",451.74,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician","H2015",1806.94,15,"N/A","N/A","N/A","Recovery","Comprehensive community support services, 15 minutes","N/A",451.74,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician","H2017",1806.94,15,"N/A","HQ","N/A","Recovery","Psychosocial rehabilitation services, 15 Minutes","N/A",100.39,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician","H2017",1806.94,15,"N/A","N/A","N/A","Recovery","Psychosocial rehabilitation services, 15 Minutes","N/A",451.74,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician","H2021",1806.94,15,"N/A","N/A","N/A","Treatment Planning","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",451.74,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician","H2027",1806.94,15,"N/A","N/A","N/A","Treatment Planning","Psychoeducational Service, 15 minutes","N/A",451.74,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician","H2035",1806.94,60,"N/A","N/A","N/A","Recovery","Alcohol and/or other drug treatment program, per hour ","N/A",1806.94,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician","T1006",1806.94,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or substance abuse services, family/couple counseling, 15 minutes","N/A",451.74,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician","T1007",1806.94,15,"N/A","N/A","N/A","Treatment Planning","Alcohol and/or substance abuse services, treatment plan development and/or modification, 15 minutes","N/A",451.74,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician","T1013",1806.94,"N/A","N/A","N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician","T1017",1806.94,15,"N/A","N/A","N/A","Care Coordination","Targeted case management, 15 minutes","N/A",451.74,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician","T2021",1806.94,15,"N/A","HQ","N/A","Family Therapy","Therapy substitute, 15 minutes","N/A",100.39,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician","T2021",1806.94,15,"N/A","N/A","N/A","Family Therapy","Therapy substitute, 15 minutes","N/A",451.74,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician","T2021",1806.94,15,"N/A",22,"N/A","Family Therapy","Therapy substitute, 15 minutes","N/A",454.75,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Physician","T2024",1806.94,15,"N/A","N/A","N/A","Assessment","Assessment substitute, 15 minutes","N/A",451.74,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Psychiatric Technician",90785,330.54,"N/A","N/A","N/A","N/A","Supplemental","Interactive complexity. There is no assigned time for this code. ","N/A",18.89,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Psychiatric Technician",90882,330.54,15,"N/A","N/A","N/A","Care Coordination","Environmental intervention for medical management purposes on a psychiatric patient's behalf with agencies, employers, or institutions, 15 minutes","N/A",82.64,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Psychiatric Technician",90889,330.54,15,"N/A","N/A","N/A","Care Coordination","Preparation of report of patient's psychiatric status, history, treatment, or progress (other than for legal or consultative purposes) for other individuals, agencies, or insurance carriers, 15 minutes","N/A",82.64,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Psychiatric Technician",96160,330.54,15,"N/A","N/A","N/A","Care Coordination","Administration of patient-focused health risk assessment instrument (eg, health hazard appraisal) with scoring and documentation, per standardized instrument, 15 minutes","N/A",82.64,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Psychiatric Technician",96170,330.54,30,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; initial 30 minutes","N/A",165.27,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Psychiatric Technician",96171,330.54,15,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; each additional 15 minutes","N/A",82.64,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Psychiatric Technician",96202,330.54,60,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Psychiatric Technician",96203,330.54,15,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Psychiatric Technician",97550,330.54,23,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Psychiatric Technician",97551,330.54,15,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Psychiatric Technician",97552,330.54,45,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Psychiatric Technician","G0396",330.54,23,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 15-30 Minutes","N/A",126.71,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Psychiatric Technician","G0397",330.54,60,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 31-1440 Minutes","N/A",330.54,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Psychiatric Technician","G0539",330.54,23,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Psychiatric Technician","G0540",330.54,15,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Psychiatric Technician","G0541",330.54,23,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Psychiatric Technician","G0542",330.54,15,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Psychiatric Technician","G0543",330.54,45,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Psychiatric Technician","G2011",330.54,10,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 5-14 Minutes","N/A",55.09,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Psychiatric Technician","H0001",330.54,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug assessment, 15 minutes","N/A",82.64,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Psychiatric Technician","H0003",330.54,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening. Laboratory analysis of specimens for presence of alcohol and/or drugs, 15 minutes","N/A",82.64,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Psychiatric Technician","H0007",330.54,15,"N/A","N/A","N/A","Crisis Intervention","Alcohol and/or drug services; crisis intervention (outpatient), 15 minutes","N/A",82.64,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Psychiatric Technician","H0008",330.54,15,"N/A","N/A","N/A","Recovery","Alcohol and/or drug services: (hospital inpatient) Subacute detoxification, 15 minutes","N/A",82.64,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Psychiatric Technician","H0009",330.54,15,"N/A","N/A","N/A","Recovery","Alcohol and/or drug services:  (hospital inpatient) Acute detoxification, 15 minutes","N/A",82.64,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Psychiatric Technician","H0033",330.54,15,"N/A","N/A","N/A","Medication Services","Medication administration, direct observation, 15 minutes","N/A",82.64,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Psychiatric Technician","H0034",330.54,15,"N/A","HQ","N/A","Medication Services","Medication training and support, 15 minutes","N/A",18.36,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Psychiatric Technician","H0034",330.54,15,"N/A","N/A","N/A","Medication Services","Medication training and support, 15 minutes","N/A",82.64,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Psychiatric Technician","H0048",330.54,15,"N/A","N/A","N/A","Assessment","Alcohol and/or other drug testing. Collection and handling only, specimens other than blood, 15 minutes","N/A",82.64,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Psychiatric Technician","H0049",330.54,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening, 15 minutes","N/A",82.64,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Psychiatric Technician","H0050",330.54,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or Drug Services, brief intervention, 15 minutes","N/A",82.64,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Psychiatric Technician","H1000",330.54,15,"N/A","N/A","N/A","Assessment","Prenatal Care, at risk assessment, 15 minutes ","N/A",82.64,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Psychiatric Technician","H2014",330.54,15,"N/A","HQ","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",18.36,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Psychiatric Technician","H2014",330.54,15,"N/A","N/A","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",82.64,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Psychiatric Technician","H2015",330.54,15,"N/A","N/A","N/A","Recovery","Comprehensive community support services, 15 minutes","N/A",82.64,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Psychiatric Technician","H2017",330.54,15,"N/A","HQ","N/A","Recovery","Psychosocial rehabilitation services, 15 Minutes","N/A",18.36,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Psychiatric Technician","H2017",330.54,15,"N/A","N/A","N/A","Recovery","Psychosocial rehabilitation services, 15 Minutes","N/A",82.64,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Psychiatric Technician","H2021",330.54,15,"N/A","N/A","N/A","Treatment Planning","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",82.64,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Psychiatric Technician","H2027",330.54,15,"N/A","N/A","N/A","Treatment Planning","Psychoeducational Service, 15 minutes","N/A",82.64,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Psychiatric Technician","H2035",330.54,60,"N/A","N/A","N/A","Recovery","Alcohol and/or other drug treatment program, per hour ","N/A",330.54,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Psychiatric Technician","T1007",330.54,15,"N/A","N/A","N/A","Treatment Planning","Alcohol and/or substance abuse services, treatment plan development and/or modification, 15 minutes","N/A",82.64,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Psychiatric Technician","T1013",330.54,"N/A","N/A","N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Psychiatric Technician","T1017",330.54,15,"N/A","N/A","N/A","Care Coordination","Targeted case management, 15 minutes","N/A",82.64,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Vocational Nurse",90785,385.57,"N/A","N/A","N/A","N/A","Supplemental","Interactive complexity. There is no assigned time for this code. ","N/A",18.89,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Vocational Nurse",90882,385.57,15,"N/A","N/A","N/A","Care Coordination","Environmental intervention for medical management purposes on a psychiatric patient's behalf with agencies, employers, or institutions, 15 minutes","N/A",96.39,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Vocational Nurse",90889,385.57,15,"N/A","N/A","N/A","Care Coordination","Preparation of report of patient's psychiatric status, history, treatment, or progress (other than for legal or consultative purposes) for other individuals, agencies, or insurance carriers, 15 minutes","N/A",96.39,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Vocational Nurse",96160,385.57,15,"N/A","N/A","N/A","Care Coordination","Administration of patient-focused health risk assessment instrument (eg, health hazard appraisal) with scoring and documentation, per standardized instrument, 15 minutes","N/A",96.39,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Vocational Nurse",96170,385.57,30,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; initial 30 minutes","N/A",192.79,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Vocational Nurse",96171,385.57,15,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; each additional 15 minutes","N/A",96.39,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Vocational Nurse",96202,385.57,60,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Vocational Nurse",96203,385.57,15,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Vocational Nurse",97550,385.57,23,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Vocational Nurse",97551,385.57,15,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Vocational Nurse",97552,385.57,45,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Vocational Nurse","G0396",385.57,23,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 15-30 Minutes","N/A",147.80000000000001,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Vocational Nurse","G0397",385.57,60,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 31-1440 Minutes","N/A",385.57,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Vocational Nurse","G0539",385.57,23,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Vocational Nurse","G0540",385.57,15,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Vocational Nurse","G0541",385.57,23,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Vocational Nurse","G0542",385.57,15,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Vocational Nurse","G0543",385.57,45,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Vocational Nurse","G2011",385.57,10,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 5-14 Minutes","N/A",64.260000000000005,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Vocational Nurse","H0001",385.57,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug assessment, 15 minutes","N/A",96.39,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Vocational Nurse","H0003",385.57,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening. Laboratory analysis of specimens for presence of alcohol and/or drugs, 15 minutes","N/A",96.39,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Vocational Nurse","H0007",385.57,15,"N/A","N/A","N/A","Crisis Intervention","Alcohol and/or drug services; crisis intervention (outpatient), 15 minutes","N/A",96.39,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Vocational Nurse","H0008",385.57,15,"N/A","N/A","N/A","Recovery","Alcohol and/or drug services: (hospital inpatient) Subacute detoxification, 15 minutes","N/A",96.39,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Vocational Nurse","H0009",385.57,15,"N/A","N/A","N/A","Recovery","Alcohol and/or drug services:  (hospital inpatient) Acute detoxification, 15 minutes","N/A",96.39,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Vocational Nurse","H0033",385.57,15,"N/A","N/A","N/A","Medication Services","Medication administration, direct observation, 15 minutes","N/A",96.39,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Vocational Nurse","H0034",385.57,15,"N/A","HQ","N/A","Medication Services","Medication training and support, 15 minutes","N/A",21.42,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Vocational Nurse","H0034",385.57,15,"N/A","N/A","N/A","Medication Services","Medication training and support, 15 minutes","N/A",96.39,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Vocational Nurse","H0048",385.57,15,"N/A","N/A","N/A","Assessment","Alcohol and/or other drug testing. Collection and handling only, specimens other than blood, 15 minutes","N/A",96.39,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Vocational Nurse","H0049",385.57,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening, 15 minutes","N/A",96.39,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Vocational Nurse","H0050",385.57,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or Drug Services, brief intervention, 15 minutes","N/A",96.39,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Vocational Nurse","H1000",385.57,15,"N/A","N/A","N/A","Assessment","Prenatal Care, at risk assessment, 15 minutes ","N/A",96.39,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Vocational Nurse","H2014",385.57,15,"N/A","HQ","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",21.42,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Vocational Nurse","H2014",385.57,15,"N/A","N/A","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",96.39,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Vocational Nurse","H2015",385.57,15,"N/A","N/A","N/A","Recovery","Comprehensive community support services, 15 minutes","N/A",96.39,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Vocational Nurse","H2017",385.57,15,"N/A","HQ","N/A","Recovery","Psychosocial rehabilitation services, 15 Minutes","N/A",21.42,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Vocational Nurse","H2017",385.57,15,"N/A","N/A","N/A","Recovery","Psychosocial rehabilitation services, 15 Minutes","N/A",96.39,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Vocational Nurse","H2021",385.57,15,"N/A","N/A","N/A","Treatment Planning","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",96.39,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Vocational Nurse","H2027",385.57,15,"N/A","N/A","N/A","Treatment Planning","Psychoeducational Service, 15 minutes","N/A",96.39,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Vocational Nurse","H2035",385.57,60,"N/A","N/A","N/A","Recovery","Alcohol and/or other drug treatment program, per hour ","N/A",385.57,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Vocational Nurse","T1007",385.57,15,"N/A","N/A","N/A","Treatment Planning","Alcohol and/or substance abuse services, treatment plan development and/or modification, 15 minutes","N/A",96.39,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Vocational Nurse","T1013",385.57,"N/A","N/A","N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Licensed Vocational Nurse","T1017",385.57,15,"N/A","N/A","N/A","Care Coordination","Targeted case management, 15 minutes","N/A",96.39,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Medical Assistant",90785,265.05,"N/A","N/A","N/A","N/A","Supplemental","Interactive complexity. There is no assigned time for this code. ","N/A",18.32,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Medical Assistant",90882,265.05,15,"N/A","N/A","N/A","Care Coordination","Environmental intervention for medical management purposes on a psychiatric patient's behalf with agencies, employers, or institutions, 15 minutes","N/A",66.260000000000005,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Medical Assistant",96160,265.05,15,"N/A","N/A","N/A","Care Coordination","Administration of patient-focused health risk assessment instrument (eg, health hazard appraisal) with scoring and documentation, per standardized instrument, 15 minutes","N/A",66.260000000000005,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Medical Assistant",96170,265.05,30,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; initial 30 minutes","N/A",132.53,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Medical Assistant",96171,265.05,15,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; each additional 15 minutes","N/A",66.260000000000005,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Medical Assistant",99368,265.05,60,"N/A","N/A","N/A","Care Coordination","Medical team conference with interdisciplinary team of health care professionals, patient and/or family not present, 30-1440 minutes; participation by nonphysician qualified health care professional","N/A",265.05,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Medical Assistant","H0001",265.05,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug assessment, 15 minutes","N/A",66.260000000000005,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Medical Assistant","H0003",265.05,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening. Laboratory analysis of specimens for presence of alcohol and/or drugs, 15 minutes","N/A",66.260000000000005,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Medical Assistant","H0033",265.05,15,"N/A","N/A","N/A","Medication Services","Medication administration, direct observation, 15 minutes","N/A",66.260000000000005,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Medical Assistant","H0034",265.05,15,"N/A","HQ","N/A","Medication Services","Medication training and support, 15 minutes","N/A",14.73,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Medical Assistant","H0034",265.05,15,"N/A","N/A","N/A","Medication Services","Medication training and support, 15 minutes","N/A",66.260000000000005,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Medical Assistant","H0048",265.05,15,"N/A","N/A","N/A","Assessment","Alcohol and/or other drug testing. Collection and handling only, specimens other than blood, 15 minutes","N/A",66.260000000000005,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Medical Assistant","H0049",265.05,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening, 15 minutes","N/A",66.260000000000005,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Medical Assistant","H2014",265.05,15,"N/A","HQ","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",14.73,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Medical Assistant","H2014",265.05,15,"N/A","N/A","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",66.260000000000005,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Medical Assistant","H2017",265.05,15,"N/A","HQ","N/A","Recovery","Psychosocial rehabilitation services, 15 Minutes","N/A",14.73,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Medical Assistant","H2017",265.05,15,"N/A","N/A","N/A","Recovery","Psychosocial rehabilitation services, 15 Minutes","N/A",66.260000000000005,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Medical Assistant","H2021",265.05,15,"N/A","N/A","N/A","Treatment Planning","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",66.260000000000005,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Medical Assistant","H2027",265.05,15,"N/A","N/A","N/A","Treatment Planning","Psychoeducational Service, 15 minutes","N/A",66.260000000000005,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Medical Assistant","T1013",265.05,"N/A","N/A","N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Medical Assistant","T1017",265.05,15,"N/A","N/A","N/A","Care Coordination","Targeted case management, 15 minutes","N/A",66.260000000000005,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Medical Assistant","T2024",265.05,15,"N/A","N/A","N/A","Assessment","Assessment substitute, 15 minutes","N/A",66.260000000000005,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","MFT/LPCC (Licensed, Waivered or Registered)",90785,470.26,"N/A","N/A","N/A","N/A","Supplemental","Interactive complexity. There is no assigned time for this code. ","N/A",18.89,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","MFT/LPCC (Licensed, Waivered or Registered)",90791,470.26,60,"N/A","N/A","N/A","Assessment","Psychiatric diagnostic evaluation, 60 minutes","N/A",470.26,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","MFT/LPCC (Licensed, Waivered or Registered)",90846,470.26,50,"N/A","N/A","N/A","Family Therapy","Family Psychotherapy (Without the Patient Present), 50 minutes","N/A",391.88,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","MFT/LPCC (Licensed, Waivered or Registered)",90847,470.26,50,"N/A","N/A","N/A","Family Therapy","Family Psychotherapy (Conjoint psychotheraphy with Patient Present), 50 minutes","N/A",391.88,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","MFT/LPCC (Licensed, Waivered or Registered)",90849,470.26,84,"N/A","N/A","N/A","Family Therapy","Multiple-family group psychotherapy, 84 minutes","N/A",146.30000000000001,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","MFT/LPCC (Licensed, Waivered or Registered)",90882,470.26,15,"N/A","N/A","N/A","Care Coordination","Environmental intervention for medical management purposes on a psychiatric patient's behalf with agencies, employers, or institutions, 15 minutes","N/A",117.57,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","MFT/LPCC (Licensed, Waivered or Registered)",90885,470.26,60,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","MFT/LPCC (Licensed, Waivered or Registered)",90887,470.26,50,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","MFT/LPCC (Licensed, Waivered or Registered)",90889,470.26,15,"N/A","N/A","N/A","Care Coordination","Preparation of report of patient's psychiatric status, history, treatment, or progress (other than for legal or consultative purposes) for other individuals, agencies, or insurance carriers, 15 minutes","N/A",117.57,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","MFT/LPCC (Licensed, Waivered or Registered)",96160,470.26,15,"N/A","N/A","N/A","Care Coordination","Administration of patient-focused health risk assessment instrument (eg, health hazard appraisal) with scoring and documentation, per standardized instrument, 15 minutes","N/A",117.57,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","MFT/LPCC (Licensed, Waivered or Registered)",96170,470.26,30,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; initial 30 minutes","N/A",235.13,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","MFT/LPCC (Licensed, Waivered or Registered)",96171,470.26,15,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; each additional 15 minutes","N/A",117.57,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","MFT/LPCC (Licensed, Waivered or Registered)",96202,470.26,60,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","MFT/LPCC (Licensed, Waivered or Registered)",96203,470.26,15,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","MFT/LPCC (Licensed, Waivered or Registered)",97550,470.26,23,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","MFT/LPCC (Licensed, Waivered or Registered)",97551,470.26,15,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","MFT/LPCC (Licensed, Waivered or Registered)",97552,470.26,45,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","MFT/LPCC (Licensed, Waivered or Registered)",98966,470.26,8,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","MFT/LPCC (Licensed, Waivered or Registered)",98967,470.26,16,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","MFT/LPCC (Licensed, Waivered or Registered)",98968,470.26,26,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","MFT/LPCC (Licensed, Waivered or Registered)",99368,470.26,60,"N/A","N/A","N/A","Care Coordination","Medical team conference with interdisciplinary team of health care professionals, patient and/or family not present, 30-1440 minutes; participation by nonphysician qualified health care professional","N/A",470.26,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","MFT/LPCC (Licensed, Waivered or Registered)","G0323",470.26,60,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","MFT/LPCC (Licensed, Waivered or Registered)","G0396",470.26,23,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 15-30 Minutes","N/A",180.27,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","MFT/LPCC (Licensed, Waivered or Registered)","G0397",470.26,60,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 31-1440 Minutes","N/A",470.26,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","MFT/LPCC (Licensed, Waivered or Registered)","G0539",470.26,23,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","MFT/LPCC (Licensed, Waivered or Registered)","G0540",470.26,15,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","MFT/LPCC (Licensed, Waivered or Registered)","G0541",470.26,23,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","MFT/LPCC (Licensed, Waivered or Registered)","G0542",470.26,15,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","MFT/LPCC (Licensed, Waivered or Registered)","G0543",470.26,45,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","MFT/LPCC (Licensed, Waivered or Registered)","G2011",470.26,10,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 5-14 Minutes","N/A",78.38,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","MFT/LPCC (Licensed, Waivered or Registered)","H0001",470.26,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug assessment, 15 minutes","N/A",117.57,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","MFT/LPCC (Licensed, Waivered or Registered)","H0004",470.26,15,"N/A","N/A","N/A","Individual Counseling","Behavioral health counseling and therapy, 15 minutes","N/A",117.57,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","MFT/LPCC (Licensed, Waivered or Registered)","H0005",470.26,15,"N/A","N/A","N/A","Group Counseling","Alcohol and/or drug services; group counseling by a clinician, 15 minutes ","N/A",26.13,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","MFT/LPCC (Licensed, Waivered or Registered)","H0007",470.26,15,"N/A","N/A","N/A","Crisis Intervention","Alcohol and/or drug services; crisis intervention (outpatient), 15 minutes","N/A",117.57,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","MFT/LPCC (Licensed, Waivered or Registered)","H0049",470.26,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening, 15 minutes","N/A",117.57,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","MFT/LPCC (Licensed, Waivered or Registered)","H0050",470.26,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or Drug Services, brief intervention, 15 minutes","N/A",117.57,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","MFT/LPCC (Licensed, Waivered or Registered)","H1000",470.26,15,"N/A","N/A","N/A","Assessment","Prenatal Care, at risk assessment, 15 minutes ","N/A",117.57,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","MFT/LPCC (Licensed, Waivered or Registered)","H2014",470.26,15,"N/A","HQ","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",26.13,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","MFT/LPCC (Licensed, Waivered or Registered)","H2014",470.26,15,"N/A","N/A","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",117.57,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","MFT/LPCC (Licensed, Waivered or Registered)","H2015",470.26,15,"N/A","N/A","N/A","Recovery","Comprehensive community support services, 15 minutes","N/A",117.57,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","MFT/LPCC (Licensed, Waivered or Registered)","H2017",470.26,15,"N/A","HQ","N/A","Recovery","Psychosocial rehabilitation services, 15 Minutes","N/A",26.13,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","MFT/LPCC (Licensed, Waivered or Registered)","H2017",470.26,15,"N/A","N/A","N/A","Recovery","Psychosocial rehabilitation services, 15 Minutes","N/A",117.57,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","MFT/LPCC (Licensed, Waivered or Registered)","H2021",470.26,15,"N/A","N/A","N/A","Treatment Planning","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",117.57,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","MFT/LPCC (Licensed, Waivered or Registered)","H2027",470.26,15,"N/A","N/A","N/A","Treatment Planning","Psychoeducational Service, 15 minutes","N/A",117.57,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","MFT/LPCC (Licensed, Waivered or Registered)","H2035",470.26,60,"N/A","N/A","N/A","Recovery","Alcohol and/or other drug treatment program, per hour ","N/A",470.26,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","MFT/LPCC (Licensed, Waivered or Registered)","T1006",470.26,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or substance abuse services, family/couple counseling, 15 minutes","N/A",117.57,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","MFT/LPCC (Licensed, Waivered or Registered)","T1007",470.26,15,"N/A","N/A","N/A","Treatment Planning","Alcohol and/or substance abuse services, treatment plan development and/or modification, 15 minutes","N/A",117.57,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","MFT/LPCC (Licensed, Waivered or Registered)","T1013",470.26,"N/A","N/A","N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","MFT/LPCC (Licensed, Waivered or Registered)","T1017",470.26,15,"N/A","N/A","N/A","Care Coordination","Targeted case management, 15 minutes","N/A",117.57,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","MFT/LPCC (Licensed, Waivered or Registered)","T2021",470.26,15,"N/A","HQ","N/A","Family Therapy","Therapy substitute, 15 minutes","N/A",26.13,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","MFT/LPCC (Licensed, Waivered or Registered)","T2021",470.26,15,"N/A","N/A","N/A","Family Therapy","Therapy substitute, 15 minutes","N/A",117.57,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","MFT/LPCC (Licensed, Waivered or Registered)","T2021",470.26,15,"N/A",22,"N/A","Family Therapy","Therapy substitute, 15 minutes","N/A",120.58,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","MFT/LPCC (Licensed, Waivered or Registered)","T2024",470.26,15,"N/A","N/A","N/A","Assessment","Assessment substitute, 15 minutes","N/A",117.57,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",90785,898.55,"N/A","N/A","N/A","N/A","Supplemental","Interactive complexity. There is no assigned time for this code. ","N/A",18.89,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",90791,898.55,60,"N/A","N/A","N/A","Assessment","Psychiatric diagnostic evaluation, 60 minutes","N/A",898.55,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",90792,898.55,60,"N/A","N/A","N/A","Assessment","Psychiatric diagnostic evaluation with medical services, 60 minutes","N/A",898.55,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",90846,898.55,50,"N/A","N/A","N/A","Family Therapy","Family Psychotherapy (Without the Patient Present), 50 minutes","N/A",748.79,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",90847,898.55,50,"N/A","N/A","N/A","Family Therapy","Family Psychotherapy (Conjoint psychotheraphy with Patient Present), 50 minutes","N/A",748.79,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",90849,898.55,84,"N/A","N/A","N/A","Family Therapy","Multiple-family group psychotherapy, 84 minutes","N/A",279.55,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",90865,898.55,90,"N/A","N/A","N/A","Assessment","Nacrosynthesis for psychiatric diagnostic and therapeutic purposes (eg, sodium amobarbital (Amytal) interview), 90 minutes","N/A",1347.83,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",90882,898.55,15,"N/A","N/A","N/A","Care Coordination","Environmental intervention for medical management purposes on a psychiatric patient's behalf with agencies, employers, or institutions, 15 minutes","N/A",224.64,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",90885,898.55,60,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",90887,898.55,50,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",90889,898.55,15,"N/A","N/A","N/A","Care Coordination","Preparation of report of patient's psychiatric status, history, treatment, or progress (other than for legal or consultative purposes) for other individuals, agencies, or insurance carriers, 15 minutes","N/A",224.64,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",96130,898.55,60,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",96131,898.55,60,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",96160,898.55,15,"N/A","N/A","N/A","Care Coordination","Administration of patient-focused health risk assessment instrument (eg, health hazard appraisal) with scoring and documentation, per standardized instrument, 15 minutes","N/A",224.64,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",96170,898.55,30,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; initial 30 minutes","N/A",449.28,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",96171,898.55,15,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; each additional 15 minutes","N/A",224.64,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",96202,898.55,60,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",96203,898.55,15,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",97550,898.55,23,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",97551,898.55,15,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",97552,898.55,45,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",98966,898.55,8,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",98967,898.55,16,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",98968,898.55,26,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",99202,898.55,22,"N/A","N/A","N/A","Assessment","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. 15-29 minutes total time on the date of the encounter.","N/A",329.47,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",99203,898.55,37,"N/A","N/A","N/A","Assessment","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. 30-44 minutes total time on the date of the encounter.","N/A",554.11,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",99204,898.55,52,"N/A","N/A","N/A","Assessment","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. 45-59 minutes total time on the date of the encounter.","N/A",778.74,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",99205,898.55,67,"N/A","N/A","N/A","Assessment","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. 60-74 minutes total time on the date of the encounter.","N/A",1003.38,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",99212,898.55,15,"N/A","N/A","N/A","Assessment","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. 10-19 minutes total time on the date of the encounter.","N/A",224.64,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",99213,898.55,25,"N/A","N/A","N/A","Assessment","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. 20-29 minutes total time on the date of the encounter.","N/A",374.4,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",99214,898.55,35,"N/A","N/A","N/A","Assessment","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. 30-39 minutes total time on the date of the encounter.","N/A",524.15,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",99215,898.55,47,"N/A","N/A","N/A","Assessment","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. 40-54 minutes total time on the date of the encounter.","N/A",703.86,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",99234,898.55,57,"N/A","N/A","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. 45-69 minutes total time on the date of the encounter.","N/A",853.62,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",99235,898.55,77,"N/A","N/A","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. 70-84 minutes total time on the date of the encounter.","N/A",1153.1400000000001,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",99236,898.55,92,"N/A","N/A","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. 85-99 minutes total time on the date of the encounter.","N/A",1377.78,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",99238,898.55,30,"N/A","N/A","N/A","Discharge","Hospital inpatient or observation discharge day management; 30 minutes or less on the date of the encounter","N/A",449.28,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",99239,898.55,60,"N/A","N/A","N/A","Discharge","Hospital inpatient or observation discharge day management; 30-1440 minutes on the date of the encounter","N/A",898.55,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",99304,898.55,30,"N/A","N/A","N/A","Assessment","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. 25-34 minutes total time on the date of the encounter.","N/A",449.28,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",99305,898.55,42,"N/A","N/A","N/A","Assessment","\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. 35-49 minutes total time on the date of the encounter.","N/A",628.99,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",99306,898.55,57,"N/A","N/A","N/A","Assessment","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. 50-64 minutes total time on the date of the encounter.","N/A",853.62,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",99307,898.55,15,"N/A","N/A","N/A","Assessment","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. 10-19 minutes total time on the date of the encounter for code selection.","N/A",224.64,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",99308,898.55,25,"N/A","N/A","N/A","Assessment","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. 20-29 minutes total time on the date of the encounter.","N/A",374.4,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",99309,898.55,37,"N/A","N/A","N/A","Assessment","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. 30-44 minutes total time on the date of the encounter.\t","N/A",554.11,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",99310,898.55,52,"N/A","N/A","N/A","Assessment","\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. 45-59 minutes total time on the date of the encounter.","N/A",778.74,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",99341,898.55,22,"N/A","N/A","N/A","Assessment","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. 15-29 minutes total time on the date of the encounter.","N/A",329.47,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",99342,898.55,45,"N/A","N/A","N/A","Assessment","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. 30-59 minutes total time on the date of the encounter.","N/A",673.91,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",99344,898.55,67,"N/A","N/A","N/A","Assessment","\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. 60-74 minutes total time on the date of the encounter.","N/A",1003.38,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",99345,898.55,82,"N/A","N/A","N/A","Assessment","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. 75-89 minutes total time on the date of the encounter.","N/A",1228.02,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",99347,898.55,25,"N/A","N/A","N/A","Assessment","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. 20-29 minutes total time on the date of the encounter.","N/A",374.4,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",99348,898.55,35,"N/A","N/A","N/A","Assessment","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. 30-39 minutes total time on the date of the encounter.","N/A",524.15,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",99349,898.55,50,"N/A","N/A","N/A","Assessment","\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. 40-59 minutes total time on the date of the encounter.","N/A",748.79,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",99350,898.55,67,"N/A","N/A","N/A","Assessment","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. 60-74 minutes total time on the date of the encounter.","N/A",1003.38,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",99368,898.55,60,"N/A","N/A","N/A","Care Coordination","Medical team conference with interdisciplinary team of health care professionals, patient and/or family not present, 30-1440 minutes; participation by nonphysician qualified health care professional","N/A",898.55,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",99408,898.55,23,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or substance (other than tobacco) abuse structural screening (eg, AUDIT ,DAST), and brief intervention (SBI) services. 15-30 minutes. ","N/A",344.44,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",99409,898.55,60,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or substance (other than tobacco) abuse structural screening (eg, AUDIT ,DAST), and brief intervention (SBI) services. 31-1440 minutes. ","N/A",898.55,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",99415,898.55,60,"N/A","N/A","N/A","Assessment","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",99416,898.55,30,"N/A","N/A","N/A","Assessment","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",99417,898.55,15,"N/A","N/A","N/A","Assessment","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 (This code does not follow the midpoint rule. A  full 15 minutes must be met before one unit of 99417 can be claimed).","N/A",224.64,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",99418,898.55,15,"N/A","N/A","N/A","Assessment","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 (This code does not follow the midpoint rule. A full 15 minutes must be met before one unit of 99418 can be claimed).","N/A",224.64,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",99424,898.55,30,"N/A","N/A","N/A","Care Coordination","Principal care management services, for a single high-risk disease, first 30 minutes provided personally by a physician or other qualified health care professional, per calendar month. At least 30 minutes of service must be provided before 1 unit of this code can be reported.","N/A",449.28,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",99425,898.55,30,"N/A","N/A","N/A","Care Coordination","Principal care management services, for a single high-risk disease, each additional 30 minutes provided personally by a physician or other qualified health care professional, per calendar month. Code 99425 is reported in conjunction with 99424, when at least an additional 30 minutes of service time is provided beyond 99424.","N/A",449.28,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",99437,898.55,30,"N/A","N/A","N/A","Care Coordination","Chronic care management services, each additional 30 minutes by a physician or other qualified health care professional, per calendar month. Code 99437 is reported in conjunction with 99491, when at least an additional 30 minutes of service time is provided beyond 99491.","N/A",449.28,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",99441,898.55,8,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",99442,898.55,16,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",99443,898.55,26,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",99491,898.55,30,"N/A","N/A","N/A","Care Coordination","Chronic care management services, first 30 minutes provided personally by a physician or other qualified health care professional, per calendar month. At least 30 minutes of service must be provided before 1 unit of this code can be reported.","N/A",449.28,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",99495,898.55,54,"N/A","N/A","N/A","Discharge","Transitional Care Management Services with the following required elements: Communication (direct contact, telephone, electronic) with the patient and/or caregiver within 2 business days of discharge. Medical decision making of at least moderate complexity during the service period, face-to-face visit within 14 calendar days of discharge, 54 minutes","N/A",808.7,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner",99496,898.55,75,"N/A","N/A","N/A","Discharge","Transitional Care Management Services with the following required elements: Communication (direct contact, telephone, electronic) with the patient and/or caregiver within 2 business days of discharge. Medical decision making of high complexity during the service period, face-to-face visit within 7 calendar days of discharge, 75 minutes","N/A",1123.19,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner","G0316",898.55,15,"N/A","N/A","N/A","Assessment","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner","G0396",898.55,23,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 15-30 Minutes","N/A",344.44,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner","G0397",898.55,60,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 31-1440 Minutes","N/A",898.55,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner","G0539",898.55,23,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner","G0540",898.55,15,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner","G0541",898.55,23,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner","G0542",898.55,15,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner","G0543",898.55,45,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner","G2011",898.55,10,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 5-14 Minutes","N/A",149.76,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner","H0001",898.55,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug assessment, 15 minutes","N/A",224.64,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner","H0003",898.55,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening. Laboratory analysis of specimens for presence of alcohol and/or drugs, 15 minutes","N/A",224.64,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner","H0004",898.55,15,"N/A","N/A","N/A","Individual Counseling","Behavioral health counseling and therapy, 15 minutes","N/A",224.64,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner","H0005",898.55,15,"N/A","N/A","N/A","Group Counseling","Alcohol and/or drug services; group counseling by a clinician, 15 minutes ","N/A",49.92,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner","H0007",898.55,15,"N/A","N/A","N/A","Crisis Intervention","Alcohol and/or drug services; crisis intervention (outpatient), 15 minutes","N/A",224.64,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner","H0008",898.55,15,"N/A","N/A","N/A","Recovery","Alcohol and/or drug services: (hospital inpatient) Subacute detoxification, 15 minutes","N/A",224.64,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner","H0009",898.55,15,"N/A","N/A","N/A","Recovery","Alcohol and/or drug services:  (hospital inpatient) Acute detoxification, 15 minutes","N/A",224.64,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner","H0033",898.55,15,"N/A","N/A","N/A","Medication Services","Medication administration, direct observation, 15 minutes","N/A",224.64,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner","H0034",898.55,15,"N/A","HQ","N/A","Medication Services","Medication training and support, 15 minutes","N/A",49.92,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner","H0034",898.55,15,"N/A","N/A","N/A","Medication Services","Medication training and support, 15 minutes","N/A",224.64,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner","H0048",898.55,15,"N/A","N/A","N/A","Assessment","Alcohol and/or other drug testing. Collection and handling only, specimens other than blood, 15 minutes","N/A",224.64,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner","H0049",898.55,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening, 15 minutes","N/A",224.64,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner","H0050",898.55,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or Drug Services, brief intervention, 15 minutes","N/A",224.64,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner","H1000",898.55,15,"N/A","N/A","N/A","Assessment","Prenatal Care, at risk assessment, 15 minutes ","N/A",224.64,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner","H2014",898.55,15,"N/A","HQ","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",49.92,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner","H2014",898.55,15,"N/A","N/A","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",224.64,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner","H2015",898.55,15,"N/A","N/A","N/A","Recovery","Comprehensive community support services, 15 minutes","N/A",224.64,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner","H2017",898.55,15,"N/A","HQ","N/A","Recovery","Psychosocial rehabilitation services, 15 Minutes","N/A",49.92,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner","H2017",898.55,15,"N/A","N/A","N/A","Recovery","Psychosocial rehabilitation services, 15 Minutes","N/A",224.64,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner","H2021",898.55,15,"N/A","N/A","N/A","Treatment Planning","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",224.64,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner","H2027",898.55,15,"N/A","N/A","N/A","Treatment Planning","Psychoeducational Service, 15 minutes","N/A",224.64,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner","H2035",898.55,60,"N/A","N/A","N/A","Recovery","Alcohol and/or other drug treatment program, per hour ","N/A",898.55,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner","T1006",898.55,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or substance abuse services, family/couple counseling, 15 minutes","N/A",224.64,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner","T1007",898.55,15,"N/A","N/A","N/A","Treatment Planning","Alcohol and/or substance abuse services, treatment plan development and/or modification, 15 minutes","N/A",224.64,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner","T1013",898.55,"N/A","N/A","N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner","T1017",898.55,15,"N/A","N/A","N/A","Care Coordination","Targeted case management, 15 minutes","N/A",224.64,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner","T2021",898.55,15,"N/A","HQ","N/A","Family Therapy","Therapy substitute, 15 minutes","N/A",49.92,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner","T2021",898.55,15,"N/A","N/A","N/A","Family Therapy","Therapy substitute, 15 minutes","N/A",224.64,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner","T2021",898.55,15,"N/A",22,"N/A","Family Therapy","Therapy substitute, 15 minutes","N/A",227.65,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Nurse Practitioner","T2024",898.55,15,"N/A","N/A","N/A","Assessment","Assessment substitute, 15 minutes","N/A",224.64,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Occupational Therapist",90785,625.99,"N/A","N/A","N/A","N/A","Supplemental","Interactive complexity. There is no assigned time for this code. ","N/A",18.89,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Occupational Therapist",90882,625.99,15,"N/A","N/A","N/A","Care Coordination","Environmental intervention for medical management purposes on a psychiatric patient's behalf with agencies, employers, or institutions, 15 minutes","N/A",156.5,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Occupational Therapist",90887,625.99,50,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Occupational Therapist",90889,625.99,15,"N/A","N/A","N/A","Care Coordination","Preparation of report of patient's psychiatric status, history, treatment, or progress (other than for legal or consultative purposes) for other individuals, agencies, or insurance carriers, 15 minutes","N/A",156.5,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Occupational Therapist",96160,625.99,15,"N/A","N/A","N/A","Care Coordination","Administration of patient-focused health risk assessment instrument (eg, health hazard appraisal) with scoring and documentation, per standardized instrument, 15 minutes","N/A",156.5,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Occupational Therapist",96170,625.99,30,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; initial 30 minutes","N/A",313,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Occupational Therapist",96171,625.99,15,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; each additional 15 minutes","N/A",156.5,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Occupational Therapist",96202,625.99,60,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Occupational Therapist",96203,625.99,15,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Occupational Therapist",97550,625.99,23,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Occupational Therapist",97551,625.99,15,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Occupational Therapist",97552,625.99,45,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Occupational Therapist","G0539",625.99,23,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Occupational Therapist","G0540",625.99,15,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Occupational Therapist","G0541",625.99,23,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Occupational Therapist","G0542",625.99,15,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Occupational Therapist","G0543",625.99,45,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Occupational Therapist","H0001",625.99,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug assessment, 15 minutes","N/A",156.5,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Occupational Therapist","H0004",625.99,15,"N/A","N/A","N/A","Individual Counseling","Behavioral health counseling and therapy, 15 minutes","N/A",156.5,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Occupational Therapist","H0005",625.99,15,"N/A","N/A","N/A","Group Counseling","Alcohol and/or drug services; group counseling by a clinician, 15 minutes ","N/A",34.78,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Occupational Therapist","H0007",625.99,15,"N/A","N/A","N/A","Crisis Intervention","Alcohol and/or drug services; crisis intervention (outpatient), 15 minutes","N/A",156.5,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Occupational Therapist","H0033",625.99,15,"N/A","N/A","N/A","Medication Services","Medication administration, direct observation, 15 minutes","N/A",156.5,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Occupational Therapist","H0050",625.99,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or Drug Services, brief intervention, 15 minutes","N/A",156.5,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Occupational Therapist","H2014",625.99,15,"N/A","HQ","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",34.78,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Occupational Therapist","H2014",625.99,15,"N/A","N/A","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",156.5,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Occupational Therapist","H2015",625.99,15,"N/A","N/A","N/A","Recovery","Comprehensive community support services, 15 minutes","N/A",156.5,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Occupational Therapist","H2017",625.99,15,"N/A","HQ","N/A","Recovery","Psychosocial rehabilitation services, 15 Minutes","N/A",34.78,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Occupational Therapist","H2017",625.99,15,"N/A","N/A","N/A","Recovery","Psychosocial rehabilitation services, 15 Minutes","N/A",156.5,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Occupational Therapist","H2021",625.99,15,"N/A","N/A","N/A","Treatment Planning","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",156.5,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Occupational Therapist","H2027",625.99,15,"N/A","N/A","N/A","Treatment Planning","Psychoeducational Service, 15 minutes","N/A",156.5,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Occupational Therapist","T1007",625.99,15,"N/A","N/A","N/A","Treatment Planning","Alcohol and/or substance abuse services, treatment plan development and/or modification, 15 minutes","N/A",156.5,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Occupational Therapist","T1013",625.99,"N/A","N/A","N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Occupational Therapist","T1017",625.99,15,"N/A","N/A","N/A","Care Coordination","Targeted case management, 15 minutes","N/A",156.5,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Occupational Therapist","T2024",625.99,15,"N/A","N/A","N/A","Assessment","Assessment substitute, 15 minutes","N/A",156.5,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Other Qualified Practitioner",90785,353.81,"N/A","N/A","N/A","N/A","Supplemental","Interactive complexity. There is no assigned time for this code. ","N/A",18.32,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Other Qualified Practitioner",90882,353.81,15,"N/A","N/A","N/A","Care Coordination","Environmental intervention for medical management purposes on a psychiatric patient's behalf with agencies, employers, or institutions, 15 minutes","N/A",88.45,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Other Qualified Practitioner","G0396",353.81,23,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 15-30 Minutes","N/A",135.63,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Other Qualified Practitioner","G0397",353.81,60,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 31-1440 Minutes","N/A",353.81,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Other Qualified Practitioner","G2011",353.81,10,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 5-14 Minutes","N/A",58.97,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Other Qualified Practitioner","H0001",353.81,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug assessment, 15 minutes","N/A",88.45,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Other Qualified Practitioner","H0049",353.81,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening, 15 minutes","N/A",88.45,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Other Qualified Practitioner","H0050",353.81,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or Drug Services, brief intervention, 15 minutes","N/A",88.45,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Other Qualified Practitioner","H1000",353.81,15,"N/A","N/A","N/A","Assessment","Prenatal Care, at risk assessment, 15 minutes ","N/A",88.45,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Other Qualified Practitioner","H2014",353.81,15,"N/A","HQ","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",19.66,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Other Qualified Practitioner","H2014",353.81,15,"N/A","N/A","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",88.45,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Other Qualified Practitioner","H2015",353.81,15,"N/A","N/A","N/A","Recovery","Comprehensive community support services, 15 minutes","N/A",88.45,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Other Qualified Practitioner","H2017",353.81,15,"N/A","HQ","N/A","Recovery","Psychosocial rehabilitation services, 15 Minutes","N/A",19.66,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Other Qualified Practitioner","H2017",353.81,15,"N/A","N/A","N/A","Recovery","Psychosocial rehabilitation services, 15 Minutes","N/A",88.45,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Other Qualified Practitioner","H2021",353.81,15,"N/A","N/A","N/A","Treatment Planning","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",88.45,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Other Qualified Practitioner","H2027",353.81,15,"N/A","N/A","N/A","Treatment Planning","Psychoeducational Service, 15 minutes","N/A",88.45,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Other Qualified Practitioner","H2035",353.81,60,"N/A","N/A","N/A","Recovery","Alcohol and/or other drug treatment program, per hour ","N/A",353.81,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Other Qualified Practitioner","T1013",353.81,"N/A","N/A","N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Other Qualified Practitioner","T1017",353.81,15,"N/A","N/A","N/A","Care Coordination","Targeted case management, 15 minutes","N/A",88.45,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Other Qualified Practitioner","T2024",353.81,15,"N/A","N/A","N/A","Assessment","Assessment substitute, 15 minutes","N/A",88.45,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Peer Support Specialists","H0025",371.5,15,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Peer Support Specialists","H0038",371.5,15,"N/A","N/A","N/A","Peer Support","Self-help/peer services (individual), 15 minutes","N/A",92.88,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Peer Support Specialists","H0050",371.5,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or Drug Services, brief intervention, 15 minutes","N/A",92.88,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",90785,810.4,"N/A","N/A","N/A","N/A","Supplemental","Interactive complexity. There is no assigned time for this code. ","N/A",18.89,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",90791,810.4,60,"N/A","N/A","N/A","Assessment","Psychiatric diagnostic evaluation, 60 minutes","N/A",810.4,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",90792,810.4,60,"N/A","N/A","N/A","Assessment","Psychiatric diagnostic evaluation with medical services, 60 minutes","N/A",810.4,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",90846,810.4,50,"N/A","N/A","N/A","Family Therapy","Family Psychotherapy (Without the Patient Present), 50 minutes","N/A",675.33,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",90847,810.4,50,"N/A","N/A","N/A","Family Therapy","Family Psychotherapy (Conjoint psychotheraphy with Patient Present), 50 minutes","N/A",675.33,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",90849,810.4,84,"N/A","N/A","N/A","Family Therapy","Multiple-family group psychotherapy, 84 minutes","N/A",252.12,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",90865,810.4,90,"N/A","N/A","N/A","Assessment","Nacrosynthesis for psychiatric diagnostic and therapeutic purposes (eg, sodium amobarbital (Amytal) interview), 90 minutes","N/A",1215.5999999999999,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",90882,810.4,15,"N/A","N/A","N/A","Care Coordination","Environmental intervention for medical management purposes on a psychiatric patient's behalf with agencies, employers, or institutions, 15 minutes","N/A",202.6,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",90885,810.4,60,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",90887,810.4,50,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",90889,810.4,15,"N/A","N/A","N/A","Care Coordination","Preparation of report of patient's psychiatric status, history, treatment, or progress (other than for legal or consultative purposes) for other individuals, agencies, or insurance carriers, 15 minutes","N/A",202.6,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",96130,810.4,60,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",96131,810.4,60,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",96160,810.4,15,"N/A","N/A","N/A","Care Coordination","Administration of patient-focused health risk assessment instrument (eg, health hazard appraisal) with scoring and documentation, per standardized instrument, 15 minutes","N/A",202.6,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",96170,810.4,30,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; initial 30 minutes","N/A",405.2,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",96171,810.4,15,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; each additional 15 minutes","N/A",202.6,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",96202,810.4,60,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",96203,810.4,15,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",97550,810.4,23,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",97551,810.4,15,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",97552,810.4,45,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",98966,810.4,8,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",98967,810.4,16,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",98968,810.4,26,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",99202,810.4,22,"N/A","N/A","N/A","Assessment","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. 15-29 minutes total time on the date of the encounter.","N/A",297.14999999999998,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",99203,810.4,37,"N/A","N/A","N/A","Assessment","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. 30-44 minutes total time on the date of the encounter.","N/A",499.75,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",99204,810.4,52,"N/A","N/A","N/A","Assessment","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. 45-59 minutes total time on the date of the encounter.","N/A",702.35,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",99205,810.4,67,"N/A","N/A","N/A","Assessment","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. 60-74 minutes total time on the date of the encounter.","N/A",904.95,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",99212,810.4,15,"N/A","N/A","N/A","Assessment","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. 10-19 minutes total time on the date of the encounter.","N/A",202.6,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",99213,810.4,25,"N/A","N/A","N/A","Assessment","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. 20-29 minutes total time on the date of the encounter.","N/A",337.67,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",99214,810.4,35,"N/A","N/A","N/A","Assessment","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. 30-39 minutes total time on the date of the encounter.","N/A",472.73,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",99215,810.4,47,"N/A","N/A","N/A","Assessment","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. 40-54 minutes total time on the date of the encounter.","N/A",634.80999999999995,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",99234,810.4,57,"N/A","N/A","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. 45-69 minutes total time on the date of the encounter.","N/A",769.88,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",99235,810.4,77,"N/A","N/A","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. 70-84 minutes total time on the date of the encounter.","N/A",1040.01,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",99236,810.4,92,"N/A","N/A","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. 85-99 minutes total time on the date of the encounter.","N/A",1242.6099999999999,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",99238,810.4,30,"N/A","N/A","N/A","Discharge","Hospital inpatient or observation discharge day management; 30 minutes or less on the date of the encounter","N/A",405.2,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",99239,810.4,60,"N/A","N/A","N/A","Discharge","Hospital inpatient or observation discharge day management; 30-1440 minutes on the date of the encounter","N/A",810.4,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",99304,810.4,30,"N/A","N/A","N/A","Assessment","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. 25-34 minutes total time on the date of the encounter.","N/A",405.2,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",99305,810.4,42,"N/A","N/A","N/A","Assessment","\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. 35-49 minutes total time on the date of the encounter.","N/A",567.28,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",99306,810.4,57,"N/A","N/A","N/A","Assessment","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. 50-64 minutes total time on the date of the encounter.","N/A",769.88,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",99307,810.4,15,"N/A","N/A","N/A","Assessment","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. 10-19 minutes total time on the date of the encounter for code selection.","N/A",202.6,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",99308,810.4,25,"N/A","N/A","N/A","Assessment","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. 20-29 minutes total time on the date of the encounter.","N/A",337.67,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",99309,810.4,37,"N/A","N/A","N/A","Assessment","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. 30-44 minutes total time on the date of the encounter.\t","N/A",499.75,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",99310,810.4,52,"N/A","N/A","N/A","Assessment","\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. 45-59 minutes total time on the date of the encounter.","N/A",702.35,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",99341,810.4,22,"N/A","N/A","N/A","Assessment","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. 15-29 minutes total time on the date of the encounter.","N/A",297.14999999999998,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",99342,810.4,45,"N/A","N/A","N/A","Assessment","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. 30-59 minutes total time on the date of the encounter.","N/A",607.79999999999995,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",99344,810.4,67,"N/A","N/A","N/A","Assessment","\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. 60-74 minutes total time on the date of the encounter.","N/A",904.95,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",99345,810.4,82,"N/A","N/A","N/A","Assessment","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. 75-89 minutes total time on the date of the encounter.","N/A",1107.55,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",99347,810.4,25,"N/A","N/A","N/A","Assessment","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. 20-29 minutes total time on the date of the encounter.","N/A",337.67,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",99348,810.4,35,"N/A","N/A","N/A","Assessment","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. 30-39 minutes total time on the date of the encounter.","N/A",472.73,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",99349,810.4,50,"N/A","N/A","N/A","Assessment","\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. 40-59 minutes total time on the date of the encounter.","N/A",675.33,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",99350,810.4,67,"N/A","N/A","N/A","Assessment","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. 60-74 minutes total time on the date of the encounter.","N/A",904.95,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",99368,810.4,60,"N/A","N/A","N/A","Care Coordination","Medical team conference with interdisciplinary team of health care professionals, patient and/or family not present, 30-1440 minutes; participation by nonphysician qualified health care professional","N/A",810.4,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",99408,810.4,23,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or substance (other than tobacco) abuse structural screening (eg, AUDIT ,DAST), and brief intervention (SBI) services. 15-30 minutes. ","N/A",310.64999999999998,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",99409,810.4,60,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or substance (other than tobacco) abuse structural screening (eg, AUDIT ,DAST), and brief intervention (SBI) services. 31-1440 minutes. ","N/A",810.4,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",99415,810.4,60,"N/A","N/A","N/A","Assessment","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",99416,810.4,30,"N/A","N/A","N/A","Assessment","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",99417,810.4,15,"N/A","N/A","N/A","Assessment","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 (This code does not follow the midpoint rule. A  full 15 minutes must be met before one unit of 99417 can be claimed).","N/A",202.6,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",99418,810.4,15,"N/A","N/A","N/A","Assessment","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 (This code does not follow the midpoint rule. A full 15 minutes must be met before one unit of 99418 can be claimed).","N/A",202.6,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",99424,810.4,30,"N/A","N/A","N/A","Care Coordination","Principal care management services, for a single high-risk disease, first 30 minutes provided personally by a physician or other qualified health care professional, per calendar month. At least 30 minutes of service must be provided before 1 unit of this code can be reported.","N/A",405.2,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",99425,810.4,30,"N/A","N/A","N/A","Care Coordination","Principal care management services, for a single high-risk disease, each additional 30 minutes provided personally by a physician or other qualified health care professional, per calendar month. Code 99425 is reported in conjunction with 99424, when at least an additional 30 minutes of service time is provided beyond 99424.","N/A",405.2,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",99437,810.4,30,"N/A","N/A","N/A","Care Coordination","Chronic care management services, each additional 30 minutes by a physician or other qualified health care professional, per calendar month. Code 99437 is reported in conjunction with 99491, when at least an additional 30 minutes of service time is provided beyond 99491.","N/A",405.2,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",99441,810.4,8,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",99442,810.4,16,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",99443,810.4,26,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",99491,810.4,30,"N/A","N/A","N/A","Care Coordination","Chronic care management services, first 30 minutes provided personally by a physician or other qualified health care professional, per calendar month. At least 30 minutes of service must be provided before 1 unit of this code can be reported.","N/A",405.2,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",99495,810.4,54,"N/A","N/A","N/A","Discharge","Transitional Care Management Services with the following required elements: Communication (direct contact, telephone, electronic) with the patient and/or caregiver within 2 business days of discharge. Medical decision making of at least moderate complexity during the service period, face-to-face visit within 14 calendar days of discharge, 54 minutes","N/A",729.36,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant",99496,810.4,75,"N/A","N/A","N/A","Discharge","Transitional Care Management Services with the following required elements: Communication (direct contact, telephone, electronic) with the patient and/or caregiver within 2 business days of discharge. Medical decision making of high complexity during the service period, face-to-face visit within 7 calendar days of discharge, 75 minutes","N/A",1013,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant","G0316",810.4,15,"N/A","N/A","N/A","Assessment","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant","G0396",810.4,23,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 15-30 Minutes","N/A",310.64999999999998,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant","G0397",810.4,60,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 31-1440 Minutes","N/A",810.4,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant","G0539",810.4,23,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant","G0540",810.4,15,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant","G0541",810.4,23,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant","G0542",810.4,15,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant","G0543",810.4,45,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant","G2011",810.4,10,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 5-14 Minutes","N/A",135.07,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant","H0001",810.4,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug assessment, 15 minutes","N/A",202.6,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant","H0003",810.4,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening. Laboratory analysis of specimens for presence of alcohol and/or drugs, 15 minutes","N/A",202.6,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant","H0004",810.4,15,"N/A","N/A","N/A","Individual Counseling","Behavioral health counseling and therapy, 15 minutes","N/A",202.6,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant","H0005",810.4,15,"N/A","N/A","N/A","Group Counseling","Alcohol and/or drug services; group counseling by a clinician, 15 minutes ","N/A",45.02,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant","H0007",810.4,15,"N/A","N/A","N/A","Crisis Intervention","Alcohol and/or drug services; crisis intervention (outpatient), 15 minutes","N/A",202.6,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant","H0008",810.4,15,"N/A","N/A","N/A","Recovery","Alcohol and/or drug services: (hospital inpatient) Subacute detoxification, 15 minutes","N/A",202.6,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant","H0009",810.4,15,"N/A","N/A","N/A","Recovery","Alcohol and/or drug services:  (hospital inpatient) Acute detoxification, 15 minutes","N/A",202.6,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant","H0033",810.4,15,"N/A","N/A","N/A","Medication Services","Medication administration, direct observation, 15 minutes","N/A",202.6,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant","H0034",810.4,15,"N/A","HQ","N/A","Medication Services","Medication training and support, 15 minutes","N/A",45.02,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant","H0034",810.4,15,"N/A","N/A","N/A","Medication Services","Medication training and support, 15 minutes","N/A",202.6,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant","H0048",810.4,15,"N/A","N/A","N/A","Assessment","Alcohol and/or other drug testing. Collection and handling only, specimens other than blood, 15 minutes","N/A",202.6,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant","H0049",810.4,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening, 15 minutes","N/A",202.6,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant","H0050",810.4,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or Drug Services, brief intervention, 15 minutes","N/A",202.6,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant","H1000",810.4,15,"N/A","N/A","N/A","Assessment","Prenatal Care, at risk assessment, 15 minutes ","N/A",202.6,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant","H2014",810.4,15,"N/A","HQ","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",45.02,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant","H2014",810.4,15,"N/A","N/A","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",202.6,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant","H2015",810.4,15,"N/A","N/A","N/A","Recovery","Comprehensive community support services, 15 minutes","N/A",202.6,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant","H2017",810.4,15,"N/A","HQ","N/A","Recovery","Psychosocial rehabilitation services, 15 Minutes","N/A",45.02,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant","H2017",810.4,15,"N/A","N/A","N/A","Recovery","Psychosocial rehabilitation services, 15 Minutes","N/A",202.6,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant","H2021",810.4,15,"N/A","N/A","N/A","Treatment Planning","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",202.6,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant","H2027",810.4,15,"N/A","N/A","N/A","Treatment Planning","Psychoeducational Service, 15 minutes","N/A",202.6,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant","H2035",810.4,60,"N/A","N/A","N/A","Recovery","Alcohol and/or other drug treatment program, per hour ","N/A",810.4,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant","T1006",810.4,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or substance abuse services, family/couple counseling, 15 minutes","N/A",202.6,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant","T1007",810.4,15,"N/A","N/A","N/A","Treatment Planning","Alcohol and/or substance abuse services, treatment plan development and/or modification, 15 minutes","N/A",202.6,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant","T1013",810.4,"N/A","N/A","N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant","T1017",810.4,15,"N/A","N/A","N/A","Care Coordination","Targeted case management, 15 minutes","N/A",202.6,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant","T2021",810.4,15,"N/A","HQ","N/A","Family Therapy","Therapy substitute, 15 minutes","N/A",45.02,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant","T2021",810.4,15,"N/A","N/A","N/A","Family Therapy","Therapy substitute, 15 minutes","N/A",202.6,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant","T2021",810.4,15,"N/A",22,"N/A","Family Therapy","Therapy substitute, 15 minutes","N/A",205.61,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Physician Assistant","T2024",810.4,15,"N/A","N/A","N/A","Assessment","Assessment substitute, 15 minutes","N/A",202.6,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Psychologist (Licensed or Waivered)",90785,726.69,"N/A","N/A","N/A","N/A","Supplemental","Interactive complexity. There is no assigned time for this code. ","N/A",18.89,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Psychologist (Licensed or Waivered)",90791,726.69,60,"N/A","N/A","N/A","Assessment","Psychiatric diagnostic evaluation, 60 minutes","N/A",726.69,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Psychologist (Licensed or Waivered)",90846,726.69,50,"N/A","N/A","N/A","Family Therapy","Family Psychotherapy (Without the Patient Present), 50 minutes","N/A",605.58000000000004,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Psychologist (Licensed or Waivered)",90847,726.69,50,"N/A","N/A","N/A","Family Therapy","Family Psychotherapy (Conjoint psychotheraphy with Patient Present), 50 minutes","N/A",605.58000000000004,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Psychologist (Licensed or Waivered)",90849,726.69,84,"N/A","N/A","N/A","Family Therapy","Multiple-family group psychotherapy, 84 minutes","N/A",226.08,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Psychologist (Licensed or Waivered)",90882,726.69,15,"N/A","N/A","N/A","Care Coordination","Environmental intervention for medical management purposes on a psychiatric patient's behalf with agencies, employers, or institutions, 15 minutes","N/A",181.67,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Psychologist (Licensed or Waivered)",90885,726.69,60,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Psychologist (Licensed or Waivered)",90887,726.69,50,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Psychologist (Licensed or Waivered)",90889,726.69,15,"N/A","N/A","N/A","Care Coordination","Preparation of report of patient's psychiatric status, history, treatment, or progress (other than for legal or consultative purposes) for other individuals, agencies, or insurance carriers, 15 minutes","N/A",181.67,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Psychologist (Licensed or Waivered)",96130,726.69,60,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Psychologist (Licensed or Waivered)",96131,726.69,60,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Psychologist (Licensed or Waivered)",96160,726.69,15,"N/A","N/A","N/A","Care Coordination","Administration of patient-focused health risk assessment instrument (eg, health hazard appraisal) with scoring and documentation, per standardized instrument, 15 minutes","N/A",181.67,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Psychologist (Licensed or Waivered)",96170,726.69,30,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; initial 30 minutes","N/A",363.35,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Psychologist (Licensed or Waivered)",96171,726.69,15,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; each additional 15 minutes","N/A",181.67,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Psychologist (Licensed or Waivered)",96202,726.69,60,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Psychologist (Licensed or Waivered)",96203,726.69,15,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Psychologist (Licensed or Waivered)",97550,726.69,23,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Psychologist (Licensed or Waivered)",97551,726.69,15,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Psychologist (Licensed or Waivered)",97552,726.69,45,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Psychologist (Licensed or Waivered)",98966,726.69,8,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Psychologist (Licensed or Waivered)",98967,726.69,16,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Psychologist (Licensed or Waivered)",98968,726.69,26,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Psychologist (Licensed or Waivered)",99368,726.69,60,"N/A","N/A","N/A","Care Coordination","Medical team conference with interdisciplinary team of health care professionals, patient and/or family not present, 30-1440 minutes; participation by nonphysician qualified health care professional","N/A",726.69,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Psychologist (Licensed or Waivered)","G0323",726.69,60,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Psychologist (Licensed or Waivered)","G0396",726.69,23,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 15-30 Minutes","N/A",278.56,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Psychologist (Licensed or Waivered)","G0397",726.69,60,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 31-1440 Minutes","N/A",726.69,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Psychologist (Licensed or Waivered)","G0539",726.69,23,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Psychologist (Licensed or Waivered)","G0540",726.69,15,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Psychologist (Licensed or Waivered)","G0541",726.69,23,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Psychologist (Licensed or Waivered)","G0542",726.69,15,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Psychologist (Licensed or Waivered)","G0543",726.69,45,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Psychologist (Licensed or Waivered)","G2011",726.69,10,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 5-14 Minutes","N/A",121.12,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Psychologist (Licensed or Waivered)","H0001",726.69,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug assessment, 15 minutes","N/A",181.67,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Psychologist (Licensed or Waivered)","H0003",726.69,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening. Laboratory analysis of specimens for presence of alcohol and/or drugs, 15 minutes","N/A",181.67,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Psychologist (Licensed or Waivered)","H0004",726.69,15,"N/A","N/A","N/A","Individual Counseling","Behavioral health counseling and therapy, 15 minutes","N/A",181.67,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Psychologist (Licensed or Waivered)","H0005",726.69,15,"N/A","N/A","N/A","Group Counseling","Alcohol and/or drug services; group counseling by a clinician, 15 minutes ","N/A",40.369999999999997,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Psychologist (Licensed or Waivered)","H0007",726.69,15,"N/A","N/A","N/A","Crisis Intervention","Alcohol and/or drug services; crisis intervention (outpatient), 15 minutes","N/A",181.67,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Psychologist (Licensed or Waivered)","H0049",726.69,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening, 15 minutes","N/A",181.67,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Psychologist (Licensed or Waivered)","H0050",726.69,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or Drug Services, brief intervention, 15 minutes","N/A",181.67,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Psychologist (Licensed or Waivered)","H1000",726.69,15,"N/A","N/A","N/A","Assessment","Prenatal Care, at risk assessment, 15 minutes ","N/A",181.67,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Psychologist (Licensed or Waivered)","H2014",726.69,15,"N/A","HQ","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",40.369999999999997,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Psychologist (Licensed or Waivered)","H2014",726.69,15,"N/A","N/A","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",181.67,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Psychologist (Licensed or Waivered)","H2027",726.69,15,"N/A","N/A","N/A","Treatment Planning","Psychoeducational Service, 15 minutes","N/A",181.67,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Psychologist (Licensed or Waivered)","H2035",726.69,60,"N/A","N/A","N/A","Recovery","Alcohol and/or other drug treatment program, per hour ","N/A",726.69,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Psychologist (Licensed or Waivered)","T1006",726.69,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or substance abuse services, family/couple counseling, 15 minutes","N/A",181.67,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Psychologist (Licensed or Waivered)","T1007",726.69,15,"N/A","N/A","N/A","Treatment Planning","Alcohol and/or substance abuse services, treatment plan development and/or modification, 15 minutes","N/A",181.67,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Psychologist (Licensed or Waivered)","T1013",726.69,"N/A","N/A","N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Psychologist (Licensed or Waivered)","T1017",726.69,15,"N/A","N/A","N/A","Care Coordination","Targeted case management, 15 minutes","N/A",181.67,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Psychologist (Licensed or Waivered)","T2021",726.69,15,"N/A","HQ","N/A","Family Therapy","Therapy substitute, 15 minutes","N/A",40.369999999999997,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Psychologist (Licensed or Waivered)","T2021",726.69,15,"N/A","N/A","N/A","Family Therapy","Therapy substitute, 15 minutes","N/A",181.67,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Psychologist (Licensed or Waivered)","T2021",726.69,15,"N/A",22,"N/A","Family Therapy","Therapy substitute, 15 minutes","N/A",184.68,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Psychologist (Licensed or Waivered)","T2024",726.69,15,"N/A","N/A","N/A","Assessment","Assessment substitute, 15 minutes","N/A",181.67,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Registered Nurse",90785,733.96,"N/A","N/A","N/A","N/A","Supplemental","Interactive complexity. There is no assigned time for this code. ","N/A",18.89,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Registered Nurse",90882,733.96,15,"N/A","N/A","N/A","Care Coordination","Environmental intervention for medical management purposes on a psychiatric patient's behalf with agencies, employers, or institutions, 15 minutes","N/A",183.49,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Registered Nurse",90887,733.96,50,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Registered Nurse",90889,733.96,15,"N/A","N/A","N/A","Care Coordination","Preparation of report of patient's psychiatric status, history, treatment, or progress (other than for legal or consultative purposes) for other individuals, agencies, or insurance carriers, 15 minutes","N/A",183.49,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Registered Nurse",96160,733.96,15,"N/A","N/A","N/A","Care Coordination","Administration of patient-focused health risk assessment instrument (eg, health hazard appraisal) with scoring and documentation, per standardized instrument, 15 minutes","N/A",183.49,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Registered Nurse",96170,733.96,30,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; initial 30 minutes","N/A",366.98,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Registered Nurse",96171,733.96,15,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; each additional 15 minutes","N/A",183.49,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Registered Nurse",96202,733.96,60,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Registered Nurse",96203,733.96,15,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Registered Nurse",97550,733.96,23,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Registered Nurse",97551,733.96,15,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Registered Nurse",97552,733.96,45,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Registered Nurse",99238,733.96,30,"N/A","N/A","N/A","Discharge","Hospital inpatient or observation discharge day management; 30 minutes or less on the date of the encounter","N/A",366.98,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Registered Nurse",99239,733.96,60,"N/A","N/A","N/A","Discharge","Hospital inpatient or observation discharge day management; 30-1440 minutes on the date of the encounter","N/A",733.96,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Registered Nurse",99368,733.96,60,"N/A","N/A","N/A","Care Coordination","Medical team conference with interdisciplinary team of health care professionals, patient and/or family not present, 30-1440 minutes; participation by nonphysician qualified health care professional","N/A",733.96,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Registered Nurse",99424,733.96,30,"N/A","N/A","N/A","Care Coordination","Principal care management services, for a single high-risk disease, first 30 minutes provided personally by a physician or other qualified health care professional, per calendar month. At least 30 minutes of service must be provided before 1 unit of this code can be reported.","N/A",366.98,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Registered Nurse",99425,733.96,30,"N/A","N/A","N/A","Care Coordination","Principal care management services, for a single high-risk disease, each additional 30 minutes provided personally by a physician or other qualified health care professional, per calendar month. Code 99425 is reported in conjunction with 99424, when at least an additional 30 minutes of service time is provided beyond 99424.","N/A",366.98,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Registered Nurse",99437,733.96,30,"N/A","N/A","N/A","Care Coordination","Chronic care management services, each additional 30 minutes by a physician or other qualified health care professional, per calendar month. Code 99437 is reported in conjunction with 99491, when at least an additional 30 minutes of service time is provided beyond 99491.","N/A",366.98,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Registered Nurse",99491,733.96,30,"N/A","N/A","N/A","Care Coordination","Chronic care management services, first 30 minutes provided personally by a physician or other qualified health care professional, per calendar month. At least 30 minutes of service must be provided before 1 unit of this code can be reported.","N/A",366.98,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Registered Nurse","G0396",733.96,23,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 15-30 Minutes","N/A",281.35000000000002,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Registered Nurse","G0397",733.96,60,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 31-1440 Minutes","N/A",733.96,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Registered Nurse","G0539",733.96,23,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Registered Nurse","G0540",733.96,15,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Registered Nurse","G0541",733.96,23,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Registered Nurse","G0542",733.96,15,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Registered Nurse","G0543",733.96,45,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Registered Nurse","G2011",733.96,10,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 5-14 Minutes","N/A",122.33,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Registered Nurse","H0001",733.96,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug assessment, 15 minutes","N/A",183.49,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Registered Nurse","H0003",733.96,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening. Laboratory analysis of specimens for presence of alcohol and/or drugs, 15 minutes","N/A",183.49,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Registered Nurse","H0004",733.96,15,"N/A","N/A","N/A","Individual Counseling","Behavioral health counseling and therapy, 15 minutes","N/A",183.49,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Registered Nurse","H0005",733.96,15,"N/A","N/A","N/A","Group Counseling","Alcohol and/or drug services; group counseling by a clinician, 15 minutes ","N/A",40.78,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Registered Nurse","H0007",733.96,15,"N/A","N/A","N/A","Crisis Intervention","Alcohol and/or drug services; crisis intervention (outpatient), 15 minutes","N/A",183.49,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Registered Nurse","H0008",733.96,15,"N/A","N/A","N/A","Recovery","Alcohol and/or drug services: (hospital inpatient) Subacute detoxification, 15 minutes","N/A",183.49,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Registered Nurse","H0009",733.96,15,"N/A","N/A","N/A","Recovery","Alcohol and/or drug services:  (hospital inpatient) Acute detoxification, 15 minutes","N/A",183.49,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Registered Nurse","H0033",733.96,15,"N/A","N/A","N/A","Medication Services","Medication administration, direct observation, 15 minutes","N/A",183.49,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Registered Nurse","H0034",733.96,15,"N/A","HQ","N/A","Medication Services","Medication training and support, 15 minutes","N/A",40.78,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Registered Nurse","H0034",733.96,15,"N/A","N/A","N/A","Medication Services","Medication training and support, 15 minutes","N/A",183.49,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Registered Nurse","H0048",733.96,15,"N/A","N/A","N/A","Assessment","Alcohol and/or other drug testing. Collection and handling only, specimens other than blood, 15 minutes","N/A",183.49,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Registered Nurse","H0049",733.96,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening, 15 minutes","N/A",183.49,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Registered Nurse","H0050",733.96,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or Drug Services, brief intervention, 15 minutes","N/A",183.49,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Registered Nurse","H1000",733.96,15,"N/A","N/A","N/A","Assessment","Prenatal Care, at risk assessment, 15 minutes ","N/A",183.49,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Registered Nurse","H2014",733.96,15,"N/A","HQ","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",40.78,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Registered Nurse","H2014",733.96,15,"N/A","N/A","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",183.49,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Registered Nurse","H2015",733.96,15,"N/A","N/A","N/A","Recovery","Comprehensive community support services, 15 minutes","N/A",183.49,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Registered Nurse","H2021",733.96,15,"N/A","N/A","N/A","Treatment Planning","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",183.49,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Registered Nurse","T1006",733.96,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or substance abuse services, family/couple counseling, 15 minutes","N/A",183.49,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Registered Nurse","T1007",733.96,15,"N/A","N/A","N/A","Treatment Planning","Alcohol and/or substance abuse services, treatment plan development and/or modification, 15 minutes","N/A",183.49,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Registered Nurse","T1013",733.96,"N/A","N/A","N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Registered Nurse","T1017",733.96,15,"N/A","N/A","N/A","Care Coordination","Targeted case management, 15 minutes","N/A",183.49,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Registered Nurse","T2024",733.96,15,"N/A","N/A","N/A","Assessment","Assessment substitute, 15 minutes","N/A",183.49,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Registered Pharmacist",90785,864.94,"N/A","N/A","N/A","N/A","Supplemental","Interactive complexity. There is no assigned time for this code. ","N/A",18.89,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Registered Pharmacist",90887,864.94,50,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Registered Pharmacist",96202,864.94,60,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Registered Pharmacist",96203,864.94,15,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Registered Pharmacist",97550,864.94,23,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Registered Pharmacist",97551,864.94,15,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Registered Pharmacist",97552,864.94,45,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Registered Pharmacist",99368,864.94,60,"N/A","N/A","N/A","Care Coordination","Medical team conference with interdisciplinary team of health care professionals, patient and/or family not present, 30-1440 minutes; participation by nonphysician qualified health care professional","N/A",864.94,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Registered Pharmacist","G0396",864.94,23,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 15-30 Minutes","N/A",331.56,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Registered Pharmacist","G0397",864.94,60,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 31-1440 Minutes","N/A",864.94,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Registered Pharmacist","G0539",864.94,23,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Registered Pharmacist","G0540",864.94,15,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Registered Pharmacist","G0541",864.94,23,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Registered Pharmacist","G0542",864.94,15,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Registered Pharmacist","G0543",864.94,45,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Registered Pharmacist","G2011",864.94,10,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 5-14 Minutes","N/A",144.16,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Registered Pharmacist","H0001",864.94,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug assessment, 15 minutes","N/A",216.24,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Registered Pharmacist","H0003",864.94,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening. Laboratory analysis of specimens for presence of alcohol and/or drugs, 15 minutes","N/A",216.24,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Registered Pharmacist","H0008",864.94,15,"N/A","N/A","N/A","Recovery","Alcohol and/or drug services: (hospital inpatient) Subacute detoxification, 15 minutes","N/A",216.24,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Registered Pharmacist","H0009",864.94,15,"N/A","N/A","N/A","Recovery","Alcohol and/or drug services:  (hospital inpatient) Acute detoxification, 15 minutes","N/A",216.24,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Registered Pharmacist","H0033",864.94,15,"N/A","N/A","N/A","Medication Services","Medication administration, direct observation, 15 minutes","N/A",216.24,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Registered Pharmacist","H0034",864.94,15,"N/A","HQ","N/A","Medication Services","Medication training and support, 15 minutes","N/A",48.05,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Registered Pharmacist","H0034",864.94,15,"N/A","N/A","N/A","Medication Services","Medication training and support, 15 minutes","N/A",216.24,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Registered Pharmacist","H0048",864.94,15,"N/A","N/A","N/A","Assessment","Alcohol and/or other drug testing. Collection and handling only, specimens other than blood, 15 minutes","N/A",216.24,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Registered Pharmacist","H0049",864.94,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening, 15 minutes","N/A",216.24,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Registered Pharmacist","H0050",864.94,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or Drug Services, brief intervention, 15 minutes","N/A",216.24,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Registered Pharmacist","H1000",864.94,15,"N/A","N/A","N/A","Assessment","Prenatal Care, at risk assessment, 15 minutes ","N/A",216.24,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Registered Pharmacist","H2017",864.94,15,"N/A","HQ","N/A","Recovery","Psychosocial rehabilitation services, 15 Minutes","N/A",48.05,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Registered Pharmacist","H2017",864.94,15,"N/A","N/A","N/A","Recovery","Psychosocial rehabilitation services, 15 Minutes","N/A",216.24,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Registered Pharmacist","H2021",864.94,15,"N/A","N/A","N/A","Treatment Planning","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",216.24,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Registered Pharmacist","H2035",864.94,60,"N/A","N/A","N/A","Recovery","Alcohol and/or other drug treatment program, per hour ","N/A",864.94,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Registered Pharmacist","T1013",864.94,"N/A","N/A","N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"N/A","2025-07-01","2026-06-30"]
[1,"Alameda","Registered Pharmacist","T1017",864.94,15,"N/A","N/A","N/A","Care Coordination","Targeted case management, 15 minutes","N/A",216.24,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Certified AOD Counselor",90785,341.86,"N/A","N/A","N/A","N/A","Supplemental","Interactive complexity. There is no assigned time for this code. ","N/A",18.89,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Certified AOD Counselor",90882,341.86,15,"N/A","N/A","N/A","Care Coordination","Environmental intervention for medical management purposes on a psychiatric patient's behalf with agencies, employers, or institutions, 15 minutes","N/A",85.47,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Certified AOD Counselor","G0396",341.86,23,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 15-30 Minutes","N/A",131.05000000000001,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Certified AOD Counselor","G0397",341.86,60,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 31-1440 Minutes","N/A",341.86,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Certified AOD Counselor","G2011",341.86,10,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 5-14 Minutes","N/A",56.98,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Certified AOD Counselor","H0001",341.86,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug assessment, 15 minutes","N/A",85.47,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Certified AOD Counselor","H0004",341.86,15,"N/A","N/A","N/A","Individual Counseling","Behavioral health counseling and therapy, 15 minutes","N/A",85.47,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Certified AOD Counselor","H0005",341.86,15,"N/A","N/A","N/A","Group Counseling","Alcohol and/or drug services; group counseling by a clinician, 15 minutes ","N/A",18.989999999999998,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Certified AOD Counselor","H0007",341.86,15,"N/A","N/A","N/A","Crisis Intervention","Alcohol and/or drug services; crisis intervention (outpatient), 15 minutes","N/A",85.47,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Certified AOD Counselor","H0049",341.86,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening, 15 minutes","N/A",85.47,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Certified AOD Counselor","H0050",341.86,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or Drug Services, brief intervention, 15 minutes","N/A",85.47,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Certified AOD Counselor","H1000",341.86,15,"N/A","N/A","N/A","Assessment","Prenatal Care, at risk assessment, 15 minutes ","N/A",85.47,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Certified AOD Counselor","H2014",341.86,15,"N/A","HQ","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",18.989999999999998,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Certified AOD Counselor","H2014",341.86,15,"N/A","N/A","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",85.47,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Certified AOD Counselor","H2015",341.86,15,"N/A","N/A","N/A","Recovery","Comprehensive community support services, 15 minutes","N/A",85.47,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Certified AOD Counselor","H2017",341.86,15,"N/A","HQ","N/A","Recovery","Psychosocial rehabilitation services, 15 Minutes","N/A",18.989999999999998,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Certified AOD Counselor","H2017",341.86,15,"N/A","N/A","N/A","Recovery","Psychosocial rehabilitation services, 15 Minutes","N/A",85.47,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Certified AOD Counselor","H2021",341.86,15,"N/A","N/A","N/A","Treatment Planning","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",85.47,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Certified AOD Counselor","H2027",341.86,15,"N/A","N/A","N/A","Treatment Planning","Psychoeducational Service, 15 minutes","N/A",85.47,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Certified AOD Counselor","H2035",341.86,60,"N/A","N/A","N/A","Recovery","Alcohol and/or other drug treatment program, per hour ","N/A",341.86,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Certified AOD Counselor","T1006",341.86,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or substance abuse services, family/couple counseling, 15 minutes","N/A",85.47,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Certified AOD Counselor","T1007",341.86,15,"N/A","N/A","N/A","Treatment Planning","Alcohol and/or substance abuse services, treatment plan development and/or modification, 15 minutes","N/A",85.47,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Certified AOD Counselor","T1013",341.86,"N/A","N/A","N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Certified AOD Counselor","T1017",341.86,15,"N/A","N/A","N/A","Care Coordination","Targeted case management, 15 minutes","N/A",85.47,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Certified AOD Counselor","T2024",341.86,15,"N/A","N/A","N/A","Assessment","Assessment substitute, 15 minutes","N/A",85.47,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Community Health Worker",98960,317.83,30,"N/A","N/A","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",158.91999999999999,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Community Health Worker",98961,317.83,30,"N/A","N/A","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",52.97,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Community Health Worker",98962,317.83,30,"N/A","N/A","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",24.45,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Community Health Worker","G0019",317.83,60,"N/A","N/A","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",317.83,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Community Health Worker","G0022",317.83,30,"N/A","N/A","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",158.91999999999999,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","LCSW (Licensed, Waivered or Registered)",90785,412.14,"N/A","N/A","N/A","N/A","Supplemental","Interactive complexity. There is no assigned time for this code. ","N/A",18.89,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","LCSW (Licensed, Waivered or Registered)",90791,412.14,60,"N/A","N/A","N/A","Assessment","Psychiatric diagnostic evaluation, 60 minutes","N/A",412.14,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","LCSW (Licensed, Waivered or Registered)",90846,412.14,50,"N/A","N/A","N/A","Family Therapy","Family Psychotherapy (Without the Patient Present), 50 minutes","N/A",343.45,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","LCSW (Licensed, Waivered or Registered)",90847,412.14,50,"N/A","N/A","N/A","Family Therapy","Family Psychotherapy (Conjoint psychotheraphy with Patient Present), 50 minutes","N/A",343.45,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","LCSW (Licensed, Waivered or Registered)",90849,412.14,84,"N/A","N/A","N/A","Family Therapy","Multiple-family group psychotherapy, 84 minutes","N/A",128.22,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","LCSW (Licensed, Waivered or Registered)",90882,412.14,15,"N/A","N/A","N/A","Care Coordination","Environmental intervention for medical management purposes on a psychiatric patient's behalf with agencies, employers, or institutions, 15 minutes","N/A",103.04,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","LCSW (Licensed, Waivered or Registered)",90885,412.14,60,"N/A","N/A","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",412.14,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","LCSW (Licensed, Waivered or Registered)",90887,412.14,50,"N/A","N/A","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",343.45,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","LCSW (Licensed, Waivered or Registered)",90889,412.14,15,"N/A","N/A","N/A","Care Coordination","Preparation of report of patient's psychiatric status, history, treatment, or progress (other than for legal or consultative purposes) for other individuals, agencies, or insurance carriers, 15 minutes","N/A",103.04,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","LCSW (Licensed, Waivered or Registered)",96160,412.14,15,"N/A","N/A","N/A","Care Coordination","Administration of patient-focused health risk assessment instrument (eg, health hazard appraisal) with scoring and documentation, per standardized instrument, 15 minutes","N/A",103.04,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","LCSW (Licensed, Waivered or Registered)",96170,412.14,30,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; initial 30 minutes","N/A",206.07,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","LCSW (Licensed, Waivered or Registered)",96171,412.14,15,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; each additional 15 minutes","N/A",103.04,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","LCSW (Licensed, Waivered or Registered)",96202,412.14,60,"N/A","N/A","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",91.59,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","LCSW (Licensed, Waivered or Registered)",96203,412.14,15,"N/A","N/A","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",22.9,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","LCSW (Licensed, Waivered or Registered)",97550,412.14,23,"N/A","N/A","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",157.99,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","LCSW (Licensed, Waivered or Registered)",97551,412.14,15,"N/A","N/A","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",103.04,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","LCSW (Licensed, Waivered or Registered)",97552,412.14,45,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","LCSW (Licensed, Waivered or Registered)",98966,412.14,8,"N/A","N/A","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",54.95,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","LCSW (Licensed, Waivered or Registered)",98967,412.14,16,"N/A","N/A","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",109.9,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","LCSW (Licensed, Waivered or Registered)",98968,412.14,26,"N/A","N/A","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",178.59,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","LCSW (Licensed, Waivered or Registered)",99368,412.14,60,"N/A","N/A","N/A","Care Coordination","Medical team conference with interdisciplinary team of health care professionals, patient and/or family not present, 30-1440 minutes; participation by nonphysician qualified health care professional","N/A",412.14,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","LCSW (Licensed, Waivered or Registered)","G0323",412.14,60,"N/A","N/A","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",412.14,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","LCSW (Licensed, Waivered or Registered)","G0396",412.14,23,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 15-30 Minutes","N/A",157.99,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","LCSW (Licensed, Waivered or Registered)","G0397",412.14,60,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 31-1440 Minutes","N/A",412.14,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","LCSW (Licensed, Waivered or Registered)","G0539",412.14,23,"N/A","N/A","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",157.99,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","LCSW (Licensed, Waivered or Registered)","G0540",412.14,15,"N/A","N/A","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",103.04,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","LCSW (Licensed, Waivered or Registered)","G0541",412.14,23,"N/A","N/A","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",157.99,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","LCSW (Licensed, Waivered or Registered)","G0542",412.14,15,"N/A","N/A","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",103.04,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","LCSW (Licensed, Waivered or Registered)","G0543",412.14,45,"N/A","N/A","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",68.69,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","LCSW (Licensed, Waivered or Registered)","G2011",412.14,10,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 5-14 Minutes","N/A",68.69,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","LCSW (Licensed, Waivered or Registered)","H0001",412.14,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug assessment, 15 minutes","N/A",103.04,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","LCSW (Licensed, Waivered or Registered)","H0004",412.14,15,"N/A","N/A","N/A","Individual Counseling","Behavioral health counseling and therapy, 15 minutes","N/A",103.04,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","LCSW (Licensed, Waivered or Registered)","H0005",412.14,15,"N/A","N/A","N/A","Group Counseling","Alcohol and/or drug services; group counseling by a clinician, 15 minutes ","N/A",22.9,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","LCSW (Licensed, Waivered or Registered)","H0007",412.14,15,"N/A","N/A","N/A","Crisis Intervention","Alcohol and/or drug services; crisis intervention (outpatient), 15 minutes","N/A",103.04,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","LCSW (Licensed, Waivered or Registered)","H0049",412.14,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening, 15 minutes","N/A",103.04,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","LCSW (Licensed, Waivered or Registered)","H0050",412.14,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or Drug Services, brief intervention, 15 minutes","N/A",103.04,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","LCSW (Licensed, Waivered or Registered)","H1000",412.14,15,"N/A","N/A","N/A","Assessment","Prenatal Care, at risk assessment, 15 minutes ","N/A",103.04,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","LCSW (Licensed, Waivered or Registered)","H2014",412.14,15,"N/A","HQ","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",22.9,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","LCSW (Licensed, Waivered or Registered)","H2014",412.14,15,"N/A","N/A","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",103.04,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","LCSW (Licensed, Waivered or Registered)","H2015",412.14,15,"N/A","N/A","N/A","Recovery","Comprehensive community support services, 15 minutes","N/A",103.04,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","LCSW (Licensed, Waivered or Registered)","H2017",412.14,15,"N/A","HQ","N/A","Recovery","Psychosocial rehabilitation services, 15 Minutes","N/A",22.9,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","LCSW (Licensed, Waivered or Registered)","H2017",412.14,15,"N/A","N/A","N/A","Recovery","Psychosocial rehabilitation services, 15 Minutes","N/A",103.04,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","LCSW (Licensed, Waivered or Registered)","H2021",412.14,15,"N/A","N/A","N/A","Treatment Planning","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",103.04,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","LCSW (Licensed, Waivered or Registered)","H2027",412.14,15,"N/A","N/A","N/A","Treatment Planning","Psychoeducational Service, 15 minutes","N/A",103.04,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","LCSW (Licensed, Waivered or Registered)","H2035",412.14,60,"N/A","N/A","N/A","Recovery","Alcohol and/or other drug treatment program, per hour ","N/A",412.14,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","LCSW (Licensed, Waivered or Registered)","T1006",412.14,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or substance abuse services, family/couple counseling, 15 minutes","N/A",103.04,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","LCSW (Licensed, Waivered or Registered)","T1007",412.14,15,"N/A","N/A","N/A","Treatment Planning","Alcohol and/or substance abuse services, treatment plan development and/or modification, 15 minutes","N/A",103.04,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","LCSW (Licensed, Waivered or Registered)","T1013",412.14,"N/A","N/A","N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","LCSW (Licensed, Waivered or Registered)","T1017",412.14,15,"N/A","N/A","N/A","Care Coordination","Targeted case management, 15 minutes","N/A",103.04,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","LCSW (Licensed, Waivered or Registered)","T2021",412.14,15,"N/A","HQ","N/A","Family Therapy","Therapy substitute, 15 minutes","N/A",22.9,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","LCSW (Licensed, Waivered or Registered)","T2021",412.14,15,"N/A","N/A","N/A","Family Therapy","Therapy substitute, 15 minutes","N/A",103.04,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","LCSW (Licensed, Waivered or Registered)","T2021",412.14,15,"N/A",22,"N/A","Family Therapy","Therapy substitute, 15 minutes","N/A",106.05,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","LCSW (Licensed, Waivered or Registered)","T2024",412.14,15,"N/A","N/A","N/A","Assessment","Assessment substitute, 15 minutes","N/A",103.04,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Physician",90785,1583.6,"N/A","N/A","N/A","N/A","Supplemental","Interactive complexity. There is no assigned time for this code. ","N/A",18.89,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Physician",90791,1583.6,60,"N/A","N/A","N/A","Assessment","Psychiatric diagnostic evaluation, 60 minutes","N/A",1583.6,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Physician",90792,1583.6,60,"N/A","N/A","N/A","Assessment","Psychiatric diagnostic evaluation with medical services, 60 minutes","N/A",1583.6,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Physician",90846,1583.6,50,"N/A","N/A","N/A","Family Therapy","Family Psychotherapy (Without the Patient Present), 50 minutes","N/A",1319.67,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Physician",90847,1583.6,50,"N/A","N/A","N/A","Family Therapy","Family Psychotherapy (Conjoint psychotheraphy with Patient Present), 50 minutes","N/A",1319.67,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Physician",90849,1583.6,84,"N/A","N/A","N/A","Family Therapy","Multiple-family group psychotherapy, 84 minutes","N/A",492.68,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Physician",90865,1583.6,90,"N/A","N/A","N/A","Assessment","Nacrosynthesis for psychiatric diagnostic and therapeutic purposes (eg, sodium amobarbital (Amytal) interview), 90 minutes","N/A",2375.4,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Physician",90882,1583.6,15,"N/A","N/A","N/A","Care Coordination","Environmental intervention for medical management purposes on a psychiatric patient's behalf with agencies, employers, or institutions, 15 minutes","N/A",395.9,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Physician",90885,1583.6,60,"N/A","N/A","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",1583.6,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Physician",90887,1583.6,50,"N/A","N/A","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",1319.67,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Physician",90889,1583.6,15,"N/A","N/A","N/A","Care Coordination","Preparation of report of patient's psychiatric status, history, treatment, or progress (other than for legal or consultative purposes) for other individuals, agencies, or insurance carriers, 15 minutes","N/A",395.9,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Physician",96130,1583.6,60,"N/A","N/A","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",1583.6,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Physician",96131,1583.6,60,"N/A","N/A","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",1583.6,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Physician",96160,1583.6,15,"N/A","N/A","N/A","Care Coordination","Administration of patient-focused health risk assessment instrument (eg, health hazard appraisal) with scoring and documentation, per standardized instrument, 15 minutes","N/A",395.9,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Physician",96170,1583.6,30,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; initial 30 minutes","N/A",791.8,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Physician",96171,1583.6,15,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; each additional 15 minutes","N/A",395.9,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Physician",96202,1583.6,60,"N/A","N/A","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",351.91,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Physician",96203,1583.6,15,"N/A","N/A","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",87.98,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Physician",97550,1583.6,23,"N/A","N/A","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",607.04999999999995,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Physician",97551,1583.6,15,"N/A","N/A","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",395.9,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Physician",97552,1583.6,45,"N/A","N/A","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",263.93,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Physician",99202,1583.6,22,"N/A","N/A","N/A","Assessment","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. 15-29 minutes total time on the date of the encounter.","N/A",580.65,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Physician",99203,1583.6,37,"N/A","N/A","N/A","Assessment","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. 30-44 minutes total time on the date of the encounter.","N/A",976.55,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Physician",99204,1583.6,52,"N/A","N/A","N/A","Assessment","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. 45-59 minutes total time on the date of the encounter.","N/A",1372.45,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Physician",99205,1583.6,67,"N/A","N/A","N/A","Assessment","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. 60-74 minutes total time on the date of the encounter.","N/A",1768.35,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Physician",99212,1583.6,15,"N/A","N/A","N/A","Assessment","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. 10-19 minutes total time on the date of the encounter.","N/A",395.9,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Physician",99213,1583.6,25,"N/A","N/A","N/A","Assessment","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. 20-29 minutes total time on the date of the encounter.","N/A",659.83,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Physician",99214,1583.6,35,"N/A","N/A","N/A","Assessment","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. 30-39 minutes total time on the date of the encounter.","N/A",923.77,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Physician",99215,1583.6,47,"N/A","N/A","N/A","Assessment","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. 40-54 minutes total time on the date of the encounter.","N/A",1240.49,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Physician",99234,1583.6,57,"N/A","N/A","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. 45-69 minutes total time on the date of the encounter.","N/A",1504.42,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Physician",99235,1583.6,77,"N/A","N/A","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. 70-84 minutes total time on the date of the encounter.","N/A",2032.29,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Physician",99236,1583.6,92,"N/A","N/A","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. 85-99 minutes total time on the date of the encounter.","N/A",2428.19,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Physician",99238,1583.6,30,"N/A","N/A","N/A","Discharge","Hospital inpatient or observation discharge day management; 30 minutes or less on the date of the encounter","N/A",791.8,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Physician",99239,1583.6,60,"N/A","N/A","N/A","Discharge","Hospital inpatient or observation discharge day management; 30-1440 minutes on the date of the encounter","N/A",1583.6,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Physician",99304,1583.6,30,"N/A","N/A","N/A","Assessment","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. 25-34 minutes total time on the date of the encounter.","N/A",791.8,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Physician",99305,1583.6,42,"N/A","N/A","N/A","Assessment","\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. 35-49 minutes total time on the date of the encounter.","N/A",1108.52,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Physician",99306,1583.6,57,"N/A","N/A","N/A","Assessment","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. 50-64 minutes total time on the date of the encounter.","N/A",1504.42,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Physician",99307,1583.6,15,"N/A","N/A","N/A","Assessment","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. 10-19 minutes total time on the date of the encounter for code selection.","N/A",395.9,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Physician",99308,1583.6,25,"N/A","N/A","N/A","Assessment","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. 20-29 minutes total time on the date of the encounter.","N/A",659.83,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Physician",99309,1583.6,37,"N/A","N/A","N/A","Assessment","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. 30-44 minutes total time on the date of the encounter.\t","N/A",976.55,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Physician",99310,1583.6,52,"N/A","N/A","N/A","Assessment","\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. 45-59 minutes total time on the date of the encounter.","N/A",1372.45,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Physician",99341,1583.6,22,"N/A","N/A","N/A","Assessment","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. 15-29 minutes total time on the date of the encounter.","N/A",580.65,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Physician",99342,1583.6,45,"N/A","N/A","N/A","Assessment","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. 30-59 minutes total time on the date of the encounter.","N/A",1187.7,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Physician",99344,1583.6,67,"N/A","N/A","N/A","Assessment","\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. 60-74 minutes total time on the date of the encounter.","N/A",1768.35,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Physician",99345,1583.6,82,"N/A","N/A","N/A","Assessment","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. 75-89 minutes total time on the date of the encounter.","N/A",2164.25,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Physician",99347,1583.6,25,"N/A","N/A","N/A","Assessment","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. 20-29 minutes total time on the date of the encounter.","N/A",659.83,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Physician",99348,1583.6,35,"N/A","N/A","N/A","Assessment","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. 30-39 minutes total time on the date of the encounter.","N/A",923.77,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Physician",99349,1583.6,50,"N/A","N/A","N/A","Assessment","\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. 40-59 minutes total time on the date of the encounter.","N/A",1319.67,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Physician",99350,1583.6,67,"N/A","N/A","N/A","Assessment","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. 60-74 minutes total time on the date of the encounter.","N/A",1768.35,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Physician",99367,1583.6,60,"N/A","N/A","N/A","Care Coordination","Medical team conference with interdisciplinary team of health care professionals, patient and/or family not present, 30-1440 minutes; participation by physician","N/A",1583.6,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Physician",99408,1583.6,23,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or substance (other than tobacco) abuse structural screening (eg, AUDIT ,DAST), and brief intervention (SBI) services. 15-30 minutes. ","N/A",607.04999999999995,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Physician",99409,1583.6,60,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or substance (other than tobacco) abuse structural screening (eg, AUDIT ,DAST), and brief intervention (SBI) services. 31-1440 minutes. ","N/A",1583.6,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Physician",99415,1583.6,60,"N/A","N/A","N/A","Assessment","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",1583.6,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Physician",99416,1583.6,30,"N/A","N/A","N/A","Assessment","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",791.8,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Physician",99417,1583.6,15,"N/A","N/A","N/A","Assessment","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 (This code does not follow the midpoint rule. A  full 15 minutes must be met before one unit of 99417 can be claimed).","N/A",395.9,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Physician",99418,1583.6,15,"N/A","N/A","N/A","Assessment","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 (This code does not follow the midpoint rule. A full 15 minutes must be met before one unit of 99418 can be claimed).","N/A",395.9,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Physician",99424,1583.6,30,"N/A","N/A","N/A","Care Coordination","Principal care management services, for a single high-risk disease, first 30 minutes provided personally by a physician or other qualified health care professional, per calendar month. At least 30 minutes of service must be provided before 1 unit of this code can be reported.","N/A",791.8,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Physician",99425,1583.6,30,"N/A","N/A","N/A","Care Coordination","Principal care management services, for a single high-risk disease, each additional 30 minutes provided personally by a physician or other qualified health care professional, per calendar month. Code 99425 is reported in conjunction with 99424, when at least an additional 30 minutes of service time is provided beyond 99424.","N/A",791.8,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Physician",99437,1583.6,30,"N/A","N/A","N/A","Care Coordination","Chronic care management services, each additional 30 minutes by a physician or other qualified health care professional, per calendar month. Code 99437 is reported in conjunction with 99491, when at least an additional 30 minutes of service time is provided beyond 99491.","N/A",791.8,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Physician",99441,1583.6,8,"N/A","N/A","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",211.15,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Physician",99442,1583.6,16,"N/A","N/A","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",422.29,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Physician",99443,1583.6,26,"N/A","N/A","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",686.23,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Physician",99451,1583.6,18,"N/A","N/A","N/A","Care Coordination","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",475.08,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Physician",99491,1583.6,30,"N/A","N/A","N/A","Care Coordination","Chronic care management services, first 30 minutes provided personally by a physician or other qualified health care professional, per calendar month. At least 30 minutes of service must be provided before 1 unit of this code can be reported.","N/A",791.8,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Physician",99495,1583.6,54,"N/A","N/A","N/A","Discharge","Transitional Care Management Services with the following required elements: Communication (direct contact, telephone, electronic) with the patient and/or caregiver within 2 business days of discharge. Medical decision making of at least moderate complexity during the service period, face-to-face visit within 14 calendar days of discharge, 54 minutes","N/A",1425.24,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Physician",99496,1583.6,75,"N/A","N/A","N/A","Discharge","Transitional Care Management Services with the following required elements: Communication (direct contact, telephone, electronic) with the patient and/or caregiver within 2 business days of discharge. Medical decision making of high complexity during the service period, face-to-face visit within 7 calendar days of discharge, 75 minutes","N/A",1979.5,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Physician","G0316",1583.6,15,"N/A","N/A","N/A","Assessment","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",395.9,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Physician","G0396",1583.6,23,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 15-30 Minutes","N/A",607.04999999999995,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Physician","G0397",1583.6,60,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 31-1440 Minutes","N/A",1583.6,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Physician","G0539",1583.6,23,"N/A","N/A","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",607.04999999999995,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Physician","G0540",1583.6,15,"N/A","N/A","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",395.9,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Physician","G0541",1583.6,23,"N/A","N/A","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",607.04999999999995,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Physician","G0542",1583.6,15,"N/A","N/A","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",395.9,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Physician","G0543",1583.6,45,"N/A","N/A","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",263.93,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Physician","G2011",1583.6,10,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 5-14 Minutes","N/A",263.93,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Physician","H0001",1583.6,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug assessment, 15 minutes","N/A",395.9,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Physician","H0003",1583.6,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening. Laboratory analysis of specimens for presence of alcohol and/or drugs, 15 minutes","N/A",395.9,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Physician","H0004",1583.6,15,"N/A","N/A","N/A","Individual Counseling","Behavioral health counseling and therapy, 15 minutes","N/A",395.9,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Physician","H0005",1583.6,15,"N/A","N/A","N/A","Group Counseling","Alcohol and/or drug services; group counseling by a clinician, 15 minutes ","N/A",87.98,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Physician","H0007",1583.6,15,"N/A","N/A","N/A","Crisis Intervention","Alcohol and/or drug services; crisis intervention (outpatient), 15 minutes","N/A",395.9,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Physician","H0008",1583.6,15,"N/A","N/A","N/A","Recovery","Alcohol and/or drug services: (hospital inpatient) Subacute detoxification, 15 minutes","N/A",395.9,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Physician","H0009",1583.6,15,"N/A","N/A","N/A","Recovery","Alcohol and/or drug services:  (hospital inpatient) Acute detoxification, 15 minutes","N/A",395.9,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Physician","H0033",1583.6,15,"N/A","N/A","N/A","Medication Services","Medication administration, direct observation, 15 minutes","N/A",395.9,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Physician","H0034",1583.6,15,"N/A","HQ","N/A","Medication Services","Medication training and support, 15 minutes","N/A",87.98,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Physician","H0034",1583.6,15,"N/A","N/A","N/A","Medication Services","Medication training and support, 15 minutes","N/A",395.9,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Physician","H0048",1583.6,15,"N/A","N/A","N/A","Assessment","Alcohol and/or other drug testing. Collection and handling only, specimens other than blood, 15 minutes","N/A",395.9,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Physician","H0049",1583.6,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening, 15 minutes","N/A",395.9,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Physician","H0050",1583.6,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or Drug Services, brief intervention, 15 minutes","N/A",395.9,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Physician","H1000",1583.6,15,"N/A","N/A","N/A","Assessment","Prenatal Care, at risk assessment, 15 minutes ","N/A",395.9,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Physician","H2014",1583.6,15,"N/A","HQ","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",87.98,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Physician","H2014",1583.6,15,"N/A","N/A","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",395.9,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Physician","H2015",1583.6,15,"N/A","N/A","N/A","Recovery","Comprehensive community support services, 15 minutes","N/A",395.9,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Physician","H2017",1583.6,15,"N/A","HQ","N/A","Recovery","Psychosocial rehabilitation services, 15 Minutes","N/A",87.98,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Physician","H2017",1583.6,15,"N/A","N/A","N/A","Recovery","Psychosocial rehabilitation services, 15 Minutes","N/A",395.9,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Physician","H2021",1583.6,15,"N/A","N/A","N/A","Treatment Planning","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",395.9,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Physician","H2027",1583.6,15,"N/A","N/A","N/A","Treatment Planning","Psychoeducational Service, 15 minutes","N/A",395.9,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Physician","H2035",1583.6,60,"N/A","N/A","N/A","Recovery","Alcohol and/or other drug treatment program, per hour ","N/A",1583.6,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Physician","T1006",1583.6,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or substance abuse services, family/couple counseling, 15 minutes","N/A",395.9,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Physician","T1007",1583.6,15,"N/A","N/A","N/A","Treatment Planning","Alcohol and/or substance abuse services, treatment plan development and/or modification, 15 minutes","N/A",395.9,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Physician","T1013",1583.6,"N/A","N/A","N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Physician","T1017",1583.6,15,"N/A","N/A","N/A","Care Coordination","Targeted case management, 15 minutes","N/A",395.9,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Physician","T2021",1583.6,15,"N/A","HQ","N/A","Family Therapy","Therapy substitute, 15 minutes","N/A",87.98,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Physician","T2021",1583.6,15,"N/A","N/A","N/A","Family Therapy","Therapy substitute, 15 minutes","N/A",395.9,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Physician","T2021",1583.6,15,"N/A",22,"N/A","Family Therapy","Therapy substitute, 15 minutes","N/A",398.91,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Physician","T2024",1583.6,15,"N/A","N/A","N/A","Assessment","Assessment substitute, 15 minutes","N/A",395.9,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Psychiatric Technician",90785,289.68,"N/A","N/A","N/A","N/A","Supplemental","Interactive complexity. There is no assigned time for this code. ","N/A",18.89,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Psychiatric Technician",90882,289.68,15,"N/A","N/A","N/A","Care Coordination","Environmental intervention for medical management purposes on a psychiatric patient's behalf with agencies, employers, or institutions, 15 minutes","N/A",72.42,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Psychiatric Technician",90889,289.68,15,"N/A","N/A","N/A","Care Coordination","Preparation of report of patient's psychiatric status, history, treatment, or progress (other than for legal or consultative purposes) for other individuals, agencies, or insurance carriers, 15 minutes","N/A",72.42,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Psychiatric Technician",96160,289.68,15,"N/A","N/A","N/A","Care Coordination","Administration of patient-focused health risk assessment instrument (eg, health hazard appraisal) with scoring and documentation, per standardized instrument, 15 minutes","N/A",72.42,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Psychiatric Technician",96170,289.68,30,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; initial 30 minutes","N/A",144.84,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Psychiatric Technician",96171,289.68,15,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; each additional 15 minutes","N/A",72.42,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Psychiatric Technician",96202,289.68,60,"N/A","N/A","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",64.37,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Psychiatric Technician",96203,289.68,15,"N/A","N/A","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",16.09,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Psychiatric Technician",97550,289.68,23,"N/A","N/A","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",111.04,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Psychiatric Technician",97551,289.68,15,"N/A","N/A","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",72.42,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Psychiatric Technician",97552,289.68,45,"N/A","N/A","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",48.28,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Psychiatric Technician","G0396",289.68,23,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 15-30 Minutes","N/A",111.04,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Psychiatric Technician","G0397",289.68,60,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 31-1440 Minutes","N/A",289.68,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Psychiatric Technician","G0539",289.68,23,"N/A","N/A","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",111.04,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Psychiatric Technician","G0540",289.68,15,"N/A","N/A","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",72.42,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Psychiatric Technician","G0541",289.68,23,"N/A","N/A","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",111.04,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Psychiatric Technician","G0542",289.68,15,"N/A","N/A","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",72.42,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Psychiatric Technician","G0543",289.68,45,"N/A","N/A","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",48.28,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Psychiatric Technician","G2011",289.68,10,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 5-14 Minutes","N/A",48.28,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Psychiatric Technician","H0001",289.68,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug assessment, 15 minutes","N/A",72.42,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Psychiatric Technician","H0003",289.68,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening. Laboratory analysis of specimens for presence of alcohol and/or drugs, 15 minutes","N/A",72.42,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Psychiatric Technician","H0007",289.68,15,"N/A","N/A","N/A","Crisis Intervention","Alcohol and/or drug services; crisis intervention (outpatient), 15 minutes","N/A",72.42,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Psychiatric Technician","H0008",289.68,15,"N/A","N/A","N/A","Recovery","Alcohol and/or drug services: (hospital inpatient) Subacute detoxification, 15 minutes","N/A",72.42,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Psychiatric Technician","H0009",289.68,15,"N/A","N/A","N/A","Recovery","Alcohol and/or drug services:  (hospital inpatient) Acute detoxification, 15 minutes","N/A",72.42,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Psychiatric Technician","H0033",289.68,15,"N/A","N/A","N/A","Medication Services","Medication administration, direct observation, 15 minutes","N/A",72.42,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Psychiatric Technician","H0034",289.68,15,"N/A","HQ","N/A","Medication Services","Medication training and support, 15 minutes","N/A",16.09,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Psychiatric Technician","H0034",289.68,15,"N/A","N/A","N/A","Medication Services","Medication training and support, 15 minutes","N/A",72.42,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Psychiatric Technician","H0048",289.68,15,"N/A","N/A","N/A","Assessment","Alcohol and/or other drug testing. Collection and handling only, specimens other than blood, 15 minutes","N/A",72.42,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Psychiatric Technician","H0049",289.68,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening, 15 minutes","N/A",72.42,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Psychiatric Technician","H0050",289.68,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or Drug Services, brief intervention, 15 minutes","N/A",72.42,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Psychiatric Technician","H1000",289.68,15,"N/A","N/A","N/A","Assessment","Prenatal Care, at risk assessment, 15 minutes ","N/A",72.42,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Psychiatric Technician","H2014",289.68,15,"N/A","HQ","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",16.09,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Psychiatric Technician","H2014",289.68,15,"N/A","N/A","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",72.42,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Psychiatric Technician","H2015",289.68,15,"N/A","N/A","N/A","Recovery","Comprehensive community support services, 15 minutes","N/A",72.42,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Psychiatric Technician","H2017",289.68,15,"N/A","HQ","N/A","Recovery","Psychosocial rehabilitation services, 15 Minutes","N/A",16.09,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Psychiatric Technician","H2017",289.68,15,"N/A","N/A","N/A","Recovery","Psychosocial rehabilitation services, 15 Minutes","N/A",72.42,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Psychiatric Technician","H2021",289.68,15,"N/A","N/A","N/A","Treatment Planning","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",72.42,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Psychiatric Technician","H2027",289.68,15,"N/A","N/A","N/A","Treatment Planning","Psychoeducational Service, 15 minutes","N/A",72.42,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Psychiatric Technician","H2035",289.68,60,"N/A","N/A","N/A","Recovery","Alcohol and/or other drug treatment program, per hour ","N/A",289.68,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Psychiatric Technician","T1007",289.68,15,"N/A","N/A","N/A","Treatment Planning","Alcohol and/or substance abuse services, treatment plan development and/or modification, 15 minutes","N/A",72.42,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Psychiatric Technician","T1013",289.68,"N/A","N/A","N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Psychiatric Technician","T1017",289.68,15,"N/A","N/A","N/A","Care Coordination","Targeted case management, 15 minutes","N/A",72.42,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Vocational Nurse",90785,337.91,"N/A","N/A","N/A","N/A","Supplemental","Interactive complexity. There is no assigned time for this code. ","N/A",18.89,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Vocational Nurse",90882,337.91,15,"N/A","N/A","N/A","Care Coordination","Environmental intervention for medical management purposes on a psychiatric patient's behalf with agencies, employers, or institutions, 15 minutes","N/A",84.48,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Vocational Nurse",90889,337.91,15,"N/A","N/A","N/A","Care Coordination","Preparation of report of patient's psychiatric status, history, treatment, or progress (other than for legal or consultative purposes) for other individuals, agencies, or insurance carriers, 15 minutes","N/A",84.48,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Vocational Nurse",96160,337.91,15,"N/A","N/A","N/A","Care Coordination","Administration of patient-focused health risk assessment instrument (eg, health hazard appraisal) with scoring and documentation, per standardized instrument, 15 minutes","N/A",84.48,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Vocational Nurse",96170,337.91,30,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; initial 30 minutes","N/A",168.96,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Vocational Nurse",96171,337.91,15,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; each additional 15 minutes","N/A",84.48,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Vocational Nurse",96202,337.91,60,"N/A","N/A","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",75.09,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Vocational Nurse",96203,337.91,15,"N/A","N/A","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",18.77,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Vocational Nurse",97550,337.91,23,"N/A","N/A","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",129.53,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Vocational Nurse",97551,337.91,15,"N/A","N/A","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",84.48,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Vocational Nurse",97552,337.91,45,"N/A","N/A","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",56.32,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Vocational Nurse","G0396",337.91,23,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 15-30 Minutes","N/A",129.53,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Vocational Nurse","G0397",337.91,60,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 31-1440 Minutes","N/A",337.91,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Vocational Nurse","G0539",337.91,23,"N/A","N/A","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",129.53,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Vocational Nurse","G0540",337.91,15,"N/A","N/A","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",84.48,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Vocational Nurse","G0541",337.91,23,"N/A","N/A","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",129.53,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Vocational Nurse","G0542",337.91,15,"N/A","N/A","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",84.48,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Vocational Nurse","G0543",337.91,45,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Vocational Nurse","G2011",337.91,10,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 5-14 Minutes","N/A",56.32,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Vocational Nurse","H0001",337.91,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug assessment, 15 minutes","N/A",84.48,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Vocational Nurse","H0003",337.91,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening. Laboratory analysis of specimens for presence of alcohol and/or drugs, 15 minutes","N/A",84.48,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Vocational Nurse","H0007",337.91,15,"N/A","N/A","N/A","Crisis Intervention","Alcohol and/or drug services; crisis intervention (outpatient), 15 minutes","N/A",84.48,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Vocational Nurse","H0008",337.91,15,"N/A","N/A","N/A","Recovery","Alcohol and/or drug services: (hospital inpatient) Subacute detoxification, 15 minutes","N/A",84.48,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Vocational Nurse","H0009",337.91,15,"N/A","N/A","N/A","Recovery","Alcohol and/or drug services:  (hospital inpatient) Acute detoxification, 15 minutes","N/A",84.48,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Vocational Nurse","H0033",337.91,15,"N/A","N/A","N/A","Medication Services","Medication administration, direct observation, 15 minutes","N/A",84.48,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Vocational Nurse","H0034",337.91,15,"N/A","HQ","N/A","Medication Services","Medication training and support, 15 minutes","N/A",18.77,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Vocational Nurse","H0034",337.91,15,"N/A","N/A","N/A","Medication Services","Medication training and support, 15 minutes","N/A",84.48,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Vocational Nurse","H0048",337.91,15,"N/A","N/A","N/A","Assessment","Alcohol and/or other drug testing. Collection and handling only, specimens other than blood, 15 minutes","N/A",84.48,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Vocational Nurse","H0049",337.91,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening, 15 minutes","N/A",84.48,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Vocational Nurse","H0050",337.91,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or Drug Services, brief intervention, 15 minutes","N/A",84.48,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Vocational Nurse","H1000",337.91,15,"N/A","N/A","N/A","Assessment","Prenatal Care, at risk assessment, 15 minutes ","N/A",84.48,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Vocational Nurse","H2014",337.91,15,"N/A","HQ","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",18.77,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Vocational Nurse","H2014",337.91,15,"N/A","N/A","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",84.48,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Vocational Nurse","H2015",337.91,15,"N/A","N/A","N/A","Recovery","Comprehensive community support services, 15 minutes","N/A",84.48,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Vocational Nurse","H2017",337.91,15,"N/A","HQ","N/A","Recovery","Psychosocial rehabilitation services, 15 Minutes","N/A",18.77,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Vocational Nurse","H2017",337.91,15,"N/A","N/A","N/A","Recovery","Psychosocial rehabilitation services, 15 Minutes","N/A",84.48,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Vocational Nurse","H2021",337.91,15,"N/A","N/A","N/A","Treatment Planning","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",84.48,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Vocational Nurse","H2027",337.91,15,"N/A","N/A","N/A","Treatment Planning","Psychoeducational Service, 15 minutes","N/A",84.48,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Vocational Nurse","H2035",337.91,60,"N/A","N/A","N/A","Recovery","Alcohol and/or other drug treatment program, per hour ","N/A",337.91,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Vocational Nurse","T1007",337.91,15,"N/A","N/A","N/A","Treatment Planning","Alcohol and/or substance abuse services, treatment plan development and/or modification, 15 minutes","N/A",84.48,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Vocational Nurse","T1013",337.91,"N/A","N/A","N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Licensed Vocational Nurse","T1017",337.91,15,"N/A","N/A","N/A","Care Coordination","Targeted case management, 15 minutes","N/A",84.48,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Medical Assistant",90785,232.29,"N/A","N/A","N/A","N/A","Supplemental","Interactive complexity. There is no assigned time for this code. ","N/A",18.32,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Medical Assistant",90882,232.29,15,"N/A","N/A","N/A","Care Coordination","Environmental intervention for medical management purposes on a psychiatric patient's behalf with agencies, employers, or institutions, 15 minutes","N/A",58.07,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Medical Assistant",96160,232.29,15,"N/A","N/A","N/A","Care Coordination","Administration of patient-focused health risk assessment instrument (eg, health hazard appraisal) with scoring and documentation, per standardized instrument, 15 minutes","N/A",58.07,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Medical Assistant",96170,232.29,30,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; initial 30 minutes","N/A",116.15,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Medical Assistant",96171,232.29,15,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; each additional 15 minutes","N/A",58.07,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Medical Assistant",99368,232.29,60,"N/A","N/A","N/A","Care Coordination","Medical team conference with interdisciplinary team of health care professionals, patient and/or family not present, 30-1440 minutes; participation by nonphysician qualified health care professional","N/A",232.29,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Medical Assistant","H0001",232.29,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug assessment, 15 minutes","N/A",58.07,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Medical Assistant","H0003",232.29,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening. Laboratory analysis of specimens for presence of alcohol and/or drugs, 15 minutes","N/A",58.07,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Medical Assistant","H0033",232.29,15,"N/A","N/A","N/A","Medication Services","Medication administration, direct observation, 15 minutes","N/A",58.07,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Medical Assistant","H0034",232.29,15,"N/A","HQ","N/A","Medication Services","Medication training and support, 15 minutes","N/A",12.91,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Medical Assistant","H0034",232.29,15,"N/A","N/A","N/A","Medication Services","Medication training and support, 15 minutes","N/A",58.07,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Medical Assistant","H0048",232.29,15,"N/A","N/A","N/A","Assessment","Alcohol and/or other drug testing. Collection and handling only, specimens other than blood, 15 minutes","N/A",58.07,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Medical Assistant","H0049",232.29,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening, 15 minutes","N/A",58.07,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Medical Assistant","H2014",232.29,15,"N/A","HQ","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",12.91,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Medical Assistant","H2014",232.29,15,"N/A","N/A","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",58.07,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Medical Assistant","H2017",232.29,15,"N/A","HQ","N/A","Recovery","Psychosocial rehabilitation services, 15 Minutes","N/A",12.91,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Medical Assistant","H2017",232.29,15,"N/A","N/A","N/A","Recovery","Psychosocial rehabilitation services, 15 Minutes","N/A",58.07,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Medical Assistant","H2021",232.29,15,"N/A","N/A","N/A","Treatment Planning","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",58.07,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Medical Assistant","H2027",232.29,15,"N/A","N/A","N/A","Treatment Planning","Psychoeducational Service, 15 minutes","N/A",58.07,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Medical Assistant","T1013",232.29,"N/A","N/A","N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Medical Assistant","T1017",232.29,15,"N/A","N/A","N/A","Care Coordination","Targeted case management, 15 minutes","N/A",58.07,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Medical Assistant","T2024",232.29,15,"N/A","N/A","N/A","Assessment","Assessment substitute, 15 minutes","N/A",58.07,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","MFT/LPCC (Licensed, Waivered or Registered)",90785,412.14,"N/A","N/A","N/A","N/A","Supplemental","Interactive complexity. There is no assigned time for this code. ","N/A",18.89,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","MFT/LPCC (Licensed, Waivered or Registered)",90791,412.14,60,"N/A","N/A","N/A","Assessment","Psychiatric diagnostic evaluation, 60 minutes","N/A",412.14,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","MFT/LPCC (Licensed, Waivered or Registered)",90846,412.14,50,"N/A","N/A","N/A","Family Therapy","Family Psychotherapy (Without the Patient Present), 50 minutes","N/A",343.45,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","MFT/LPCC (Licensed, Waivered or Registered)",90847,412.14,50,"N/A","N/A","N/A","Family Therapy","Family Psychotherapy (Conjoint psychotheraphy with Patient Present), 50 minutes","N/A",343.45,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","MFT/LPCC (Licensed, Waivered or Registered)",90849,412.14,84,"N/A","N/A","N/A","Family Therapy","Multiple-family group psychotherapy, 84 minutes","N/A",128.22,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","MFT/LPCC (Licensed, Waivered or Registered)",90882,412.14,15,"N/A","N/A","N/A","Care Coordination","Environmental intervention for medical management purposes on a psychiatric patient's behalf with agencies, employers, or institutions, 15 minutes","N/A",103.04,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","MFT/LPCC (Licensed, Waivered or Registered)",90885,412.14,60,"N/A","N/A","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",412.14,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","MFT/LPCC (Licensed, Waivered or Registered)",90887,412.14,50,"N/A","N/A","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",343.45,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","MFT/LPCC (Licensed, Waivered or Registered)",90889,412.14,15,"N/A","N/A","N/A","Care Coordination","Preparation of report of patient's psychiatric status, history, treatment, or progress (other than for legal or consultative purposes) for other individuals, agencies, or insurance carriers, 15 minutes","N/A",103.04,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","MFT/LPCC (Licensed, Waivered or Registered)",96160,412.14,15,"N/A","N/A","N/A","Care Coordination","Administration of patient-focused health risk assessment instrument (eg, health hazard appraisal) with scoring and documentation, per standardized instrument, 15 minutes","N/A",103.04,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","MFT/LPCC (Licensed, Waivered or Registered)",96170,412.14,30,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; initial 30 minutes","N/A",206.07,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","MFT/LPCC (Licensed, Waivered or Registered)",96171,412.14,15,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; each additional 15 minutes","N/A",103.04,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","MFT/LPCC (Licensed, Waivered or Registered)",96202,412.14,60,"N/A","N/A","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",91.59,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","MFT/LPCC (Licensed, Waivered or Registered)",96203,412.14,15,"N/A","N/A","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",22.9,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","MFT/LPCC (Licensed, Waivered or Registered)",97550,412.14,23,"N/A","N/A","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",157.99,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","MFT/LPCC (Licensed, Waivered or Registered)",97551,412.14,15,"N/A","N/A","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",103.04,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","MFT/LPCC (Licensed, Waivered or Registered)",97552,412.14,45,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","MFT/LPCC (Licensed, Waivered or Registered)",98966,412.14,8,"N/A","N/A","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",54.95,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","MFT/LPCC (Licensed, Waivered or Registered)",98967,412.14,16,"N/A","N/A","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",109.9,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","MFT/LPCC (Licensed, Waivered or Registered)",98968,412.14,26,"N/A","N/A","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",178.59,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","MFT/LPCC (Licensed, Waivered or Registered)",99368,412.14,60,"N/A","N/A","N/A","Care Coordination","Medical team conference with interdisciplinary team of health care professionals, patient and/or family not present, 30-1440 minutes; participation by nonphysician qualified health care professional","N/A",412.14,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","MFT/LPCC (Licensed, Waivered or Registered)","G0323",412.14,60,"N/A","N/A","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",412.14,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","MFT/LPCC (Licensed, Waivered or Registered)","G0396",412.14,23,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 15-30 Minutes","N/A",157.99,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","MFT/LPCC (Licensed, Waivered or Registered)","G0397",412.14,60,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 31-1440 Minutes","N/A",412.14,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","MFT/LPCC (Licensed, Waivered or Registered)","G0539",412.14,23,"N/A","N/A","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",157.99,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","MFT/LPCC (Licensed, Waivered or Registered)","G0540",412.14,15,"N/A","N/A","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",103.04,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","MFT/LPCC (Licensed, Waivered or Registered)","G0541",412.14,23,"N/A","N/A","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",157.99,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","MFT/LPCC (Licensed, Waivered or Registered)","G0542",412.14,15,"N/A","N/A","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",103.04,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","MFT/LPCC (Licensed, Waivered or Registered)","G0543",412.14,45,"N/A","N/A","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",68.69,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","MFT/LPCC (Licensed, Waivered or Registered)","G2011",412.14,10,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 5-14 Minutes","N/A",68.69,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","MFT/LPCC (Licensed, Waivered or Registered)","H0001",412.14,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug assessment, 15 minutes","N/A",103.04,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","MFT/LPCC (Licensed, Waivered or Registered)","H0004",412.14,15,"N/A","N/A","N/A","Individual Counseling","Behavioral health counseling and therapy, 15 minutes","N/A",103.04,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","MFT/LPCC (Licensed, Waivered or Registered)","H0005",412.14,15,"N/A","N/A","N/A","Group Counseling","Alcohol and/or drug services; group counseling by a clinician, 15 minutes ","N/A",22.9,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","MFT/LPCC (Licensed, Waivered or Registered)","H0007",412.14,15,"N/A","N/A","N/A","Crisis Intervention","Alcohol and/or drug services; crisis intervention (outpatient), 15 minutes","N/A",103.04,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","MFT/LPCC (Licensed, Waivered or Registered)","H0049",412.14,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening, 15 minutes","N/A",103.04,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","MFT/LPCC (Licensed, Waivered or Registered)","H0050",412.14,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or Drug Services, brief intervention, 15 minutes","N/A",103.04,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","MFT/LPCC (Licensed, Waivered or Registered)","H1000",412.14,15,"N/A","N/A","N/A","Assessment","Prenatal Care, at risk assessment, 15 minutes ","N/A",103.04,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","MFT/LPCC (Licensed, Waivered or Registered)","H2014",412.14,15,"N/A","HQ","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",22.9,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","MFT/LPCC (Licensed, Waivered or Registered)","H2014",412.14,15,"N/A","N/A","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",103.04,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","MFT/LPCC (Licensed, Waivered or Registered)","H2015",412.14,15,"N/A","N/A","N/A","Recovery","Comprehensive community support services, 15 minutes","N/A",103.04,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","MFT/LPCC (Licensed, Waivered or Registered)","H2017",412.14,15,"N/A","HQ","N/A","Recovery","Psychosocial rehabilitation services, 15 Minutes","N/A",22.9,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","MFT/LPCC (Licensed, Waivered or Registered)","H2017",412.14,15,"N/A","N/A","N/A","Recovery","Psychosocial rehabilitation services, 15 Minutes","N/A",103.04,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","MFT/LPCC (Licensed, Waivered or Registered)","H2021",412.14,15,"N/A","N/A","N/A","Treatment Planning","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",103.04,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","MFT/LPCC (Licensed, Waivered or Registered)","H2027",412.14,15,"N/A","N/A","N/A","Treatment Planning","Psychoeducational Service, 15 minutes","N/A",103.04,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","MFT/LPCC (Licensed, Waivered or Registered)","H2035",412.14,60,"N/A","N/A","N/A","Recovery","Alcohol and/or other drug treatment program, per hour ","N/A",412.14,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","MFT/LPCC (Licensed, Waivered or Registered)","T1006",412.14,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or substance abuse services, family/couple counseling, 15 minutes","N/A",103.04,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","MFT/LPCC (Licensed, Waivered or Registered)","T1007",412.14,15,"N/A","N/A","N/A","Treatment Planning","Alcohol and/or substance abuse services, treatment plan development and/or modification, 15 minutes","N/A",103.04,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","MFT/LPCC (Licensed, Waivered or Registered)","T1013",412.14,"N/A","N/A","N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","MFT/LPCC (Licensed, Waivered or Registered)","T1017",412.14,15,"N/A","N/A","N/A","Care Coordination","Targeted case management, 15 minutes","N/A",103.04,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","MFT/LPCC (Licensed, Waivered or Registered)","T2021",412.14,15,"N/A","HQ","N/A","Family Therapy","Therapy substitute, 15 minutes","N/A",22.9,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","MFT/LPCC (Licensed, Waivered or Registered)","T2021",412.14,15,"N/A","N/A","N/A","Family Therapy","Therapy substitute, 15 minutes","N/A",103.04,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","MFT/LPCC (Licensed, Waivered or Registered)","T2021",412.14,15,"N/A",22,"N/A","Family Therapy","Therapy substitute, 15 minutes","N/A",106.05,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","MFT/LPCC (Licensed, Waivered or Registered)","T2024",412.14,15,"N/A","N/A","N/A","Assessment","Assessment substitute, 15 minutes","N/A",103.04,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Nurse Practitioner",90785,787.48,"N/A","N/A","N/A","N/A","Supplemental","Interactive complexity. There is no assigned time for this code. ","N/A",18.89,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Nurse Practitioner",90791,787.48,60,"N/A","N/A","N/A","Assessment","Psychiatric diagnostic evaluation, 60 minutes","N/A",787.48,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Nurse Practitioner",90792,787.48,60,"N/A","N/A","N/A","Assessment","Psychiatric diagnostic evaluation with medical services, 60 minutes","N/A",787.48,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Nurse Practitioner",90846,787.48,50,"N/A","N/A","N/A","Family Therapy","Family Psychotherapy (Without the Patient Present), 50 minutes","N/A",656.23,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Nurse Practitioner",90847,787.48,50,"N/A","N/A","N/A","Family Therapy","Family Psychotherapy (Conjoint psychotheraphy with Patient Present), 50 minutes","N/A",656.23,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Nurse Practitioner",90849,787.48,84,"N/A","N/A","N/A","Family Therapy","Multiple-family group psychotherapy, 84 minutes","N/A",244.99,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Nurse Practitioner",90865,787.48,90,"N/A","N/A","N/A","Assessment","Nacrosynthesis for psychiatric diagnostic and therapeutic purposes (eg, sodium amobarbital (Amytal) interview), 90 minutes","N/A",1181.22,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Nurse Practitioner",90882,787.48,15,"N/A","N/A","N/A","Care Coordination","Environmental intervention for medical management purposes on a psychiatric patient's behalf with agencies, employers, or institutions, 15 minutes","N/A",196.87,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Nurse Practitioner",90885,787.48,60,"N/A","N/A","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",787.48,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Nurse Practitioner",90887,787.48,50,"N/A","N/A","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",656.23,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Nurse Practitioner",90889,787.48,15,"N/A","N/A","N/A","Care Coordination","Preparation of report of patient's psychiatric status, history, treatment, or progress (other than for legal or consultative purposes) for other individuals, agencies, or insurance carriers, 15 minutes","N/A",196.87,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Nurse Practitioner",96130,787.48,60,"N/A","N/A","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",787.48,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Nurse Practitioner",96131,787.48,60,"N/A","N/A","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",787.48,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Nurse Practitioner",96160,787.48,15,"N/A","N/A","N/A","Care Coordination","Administration of patient-focused health risk assessment instrument (eg, health hazard appraisal) with scoring and documentation, per standardized instrument, 15 minutes","N/A",196.87,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Nurse Practitioner",96170,787.48,30,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; initial 30 minutes","N/A",393.74,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Nurse Practitioner",96171,787.48,15,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; each additional 15 minutes","N/A",196.87,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Nurse Practitioner",96202,787.48,60,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Nurse Practitioner",96203,787.48,15,"N/A","N/A","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",43.75,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Nurse Practitioner",97550,787.48,23,"N/A","N/A","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",301.87,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Nurse Practitioner",97551,787.48,15,"N/A","N/A","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",196.87,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Nurse Practitioner",97552,787.48,45,"N/A","N/A","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",131.25,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Nurse Practitioner",98966,787.48,8,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Nurse Practitioner",98967,787.48,16,"N/A","N/A","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",209.99,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Nurse Practitioner",98968,787.48,26,"N/A","N/A","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",341.24,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Nurse Practitioner",99202,787.48,22,"N/A","N/A","N/A","Assessment","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. 15-29 minutes total time on the date of the encounter.","N/A",288.74,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Nurse Practitioner",99203,787.48,37,"N/A","N/A","N/A","Assessment","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. 30-44 minutes total time on the date of the encounter.","N/A",485.61,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Nurse Practitioner",99204,787.48,52,"N/A","N/A","N/A","Assessment","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. 45-59 minutes total time on the date of the encounter.","N/A",682.48,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Nurse Practitioner",99205,787.48,67,"N/A","N/A","N/A","Assessment","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. 60-74 minutes total time on the date of the encounter.","N/A",879.35,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Nurse Practitioner",99212,787.48,15,"N/A","N/A","N/A","Assessment","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. 10-19 minutes total time on the date of the encounter.","N/A",196.87,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Nurse Practitioner",99213,787.48,25,"N/A","N/A","N/A","Assessment","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. 20-29 minutes total time on the date of the encounter.","N/A",328.12,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Nurse Practitioner",99214,787.48,35,"N/A","N/A","N/A","Assessment","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. 30-39 minutes total time on the date of the encounter.","N/A",459.36,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Nurse Practitioner",99215,787.48,47,"N/A","N/A","N/A","Assessment","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. 40-54 minutes total time on the date of the encounter.","N/A",616.86,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Nurse Practitioner",99234,787.48,57,"N/A","N/A","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. 45-69 minutes total time on the date of the encounter.","N/A",748.11,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Nurse Practitioner",99235,787.48,77,"N/A","N/A","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. 70-84 minutes total time on the date of the encounter.","N/A",1010.6,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Nurse Practitioner",99236,787.48,92,"N/A","N/A","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. 85-99 minutes total time on the date of the encounter.","N/A",1207.47,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Nurse Practitioner",99238,787.48,30,"N/A","N/A","N/A","Discharge","Hospital inpatient or observation discharge day management; 30 minutes or less on the date of the encounter","N/A",393.74,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Nurse Practitioner",99239,787.48,60,"N/A","N/A","N/A","Discharge","Hospital inpatient or observation discharge day management; 30-1440 minutes on the date of the encounter","N/A",787.48,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Nurse Practitioner",99304,787.48,30,"N/A","N/A","N/A","Assessment","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. 25-34 minutes total time on the date of the encounter.","N/A",393.74,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Nurse Practitioner",99305,787.48,42,"N/A","N/A","N/A","Assessment","\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. 35-49 minutes total time on the date of the encounter.","N/A",551.24,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Nurse Practitioner",99306,787.48,57,"N/A","N/A","N/A","Assessment","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. 50-64 minutes total time on the date of the encounter.","N/A",748.11,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Nurse Practitioner",99307,787.48,15,"N/A","N/A","N/A","Assessment","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. 10-19 minutes total time on the date of the encounter for code selection.","N/A",196.87,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Nurse Practitioner",99308,787.48,25,"N/A","N/A","N/A","Assessment","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. 20-29 minutes total time on the date of the encounter.","N/A",328.12,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Nurse Practitioner",99309,787.48,37,"N/A","N/A","N/A","Assessment","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. 30-44 minutes total time on the date of the encounter.\t","N/A",485.61,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Nurse Practitioner",99310,787.48,52,"N/A","N/A","N/A","Assessment","\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. 45-59 minutes total time on the date of the encounter.","N/A",682.48,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Nurse Practitioner",99341,787.48,22,"N/A","N/A","N/A","Assessment","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. 15-29 minutes total time on the date of the encounter.","N/A",288.74,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Nurse Practitioner",99342,787.48,45,"N/A","N/A","N/A","Assessment","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. 30-59 minutes total time on the date of the encounter.","N/A",590.61,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Nurse Practitioner",99344,787.48,67,"N/A","N/A","N/A","Assessment","\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. 60-74 minutes total time on the date of the encounter.","N/A",879.35,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Nurse Practitioner",99345,787.48,82,"N/A","N/A","N/A","Assessment","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. 75-89 minutes total time on the date of the encounter.","N/A",1076.22,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Nurse Practitioner",99347,787.48,25,"N/A","N/A","N/A","Assessment","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. 20-29 minutes total time on the date of the encounter.","N/A",328.12,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Nurse Practitioner",99348,787.48,35,"N/A","N/A","N/A","Assessment","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. 30-39 minutes total time on the date of the encounter.","N/A",459.36,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Nurse Practitioner",99349,787.48,50,"N/A","N/A","N/A","Assessment","\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. 40-59 minutes total time on the date of the encounter.","N/A",656.23,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Nurse Practitioner",99350,787.48,67,"N/A","N/A","N/A","Assessment","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. 60-74 minutes total time on the date of the encounter.","N/A",879.35,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Nurse Practitioner",99368,787.48,60,"N/A","N/A","N/A","Care Coordination","Medical team conference with interdisciplinary team of health care professionals, patient and/or family not present, 30-1440 minutes; participation by nonphysician qualified health care professional","N/A",787.48,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Nurse Practitioner",99408,787.48,23,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or substance (other than tobacco) abuse structural screening (eg, AUDIT ,DAST), and brief intervention (SBI) services. 15-30 minutes. ","N/A",301.87,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Nurse Practitioner",99409,787.48,60,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or substance (other than tobacco) abuse structural screening (eg, AUDIT ,DAST), and brief intervention (SBI) services. 31-1440 minutes. ","N/A",787.48,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Nurse Practitioner",99415,787.48,60,"N/A","N/A","N/A","Assessment","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",787.48,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Nurse Practitioner",99416,787.48,30,"N/A","N/A","N/A","Assessment","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",393.74,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Nurse Practitioner",99417,787.48,15,"N/A","N/A","N/A","Assessment","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 (This code does not follow the midpoint rule. A  full 15 minutes must be met before one unit of 99417 can be claimed).","N/A",196.87,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Nurse Practitioner",99418,787.48,15,"N/A","N/A","N/A","Assessment","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 (This code does not follow the midpoint rule. A full 15 minutes must be met before one unit of 99418 can be claimed).","N/A",196.87,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Nurse Practitioner",99424,787.48,30,"N/A","N/A","N/A","Care Coordination","Principal care management services, for a single high-risk disease, first 30 minutes provided personally by a physician or other qualified health care professional, per calendar month. At least 30 minutes of service must be provided before 1 unit of this code can be reported.","N/A",393.74,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Nurse Practitioner",99425,787.48,30,"N/A","N/A","N/A","Care Coordination","Principal care management services, for a single high-risk disease, each additional 30 minutes provided personally by a physician or other qualified health care professional, per calendar month. Code 99425 is reported in conjunction with 99424, when at least an additional 30 minutes of service time is provided beyond 99424.","N/A",393.74,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Nurse Practitioner",99437,787.48,30,"N/A","N/A","N/A","Care Coordination","Chronic care management services, each additional 30 minutes by a physician or other qualified health care professional, per calendar month. Code 99437 is reported in conjunction with 99491, when at least an additional 30 minutes of service time is provided beyond 99491.","N/A",393.74,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Nurse Practitioner",99441,787.48,8,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Nurse Practitioner",99442,787.48,16,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Nurse Practitioner",99443,787.48,26,"N/A","N/A","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",341.24,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Nurse Practitioner",99491,787.48,30,"N/A","N/A","N/A","Care Coordination","Chronic care management services, first 30 minutes provided personally by a physician or other qualified health care professional, per calendar month. At least 30 minutes of service must be provided before 1 unit of this code can be reported.","N/A",393.74,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Nurse Practitioner",99495,787.48,54,"N/A","N/A","N/A","Discharge","Transitional Care Management Services with the following required elements: Communication (direct contact, telephone, electronic) with the patient and/or caregiver within 2 business days of discharge. Medical decision making of at least moderate complexity during the service period, face-to-face visit within 14 calendar days of discharge, 54 minutes","N/A",708.73,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Nurse Practitioner",99496,787.48,75,"N/A","N/A","N/A","Discharge","Transitional Care Management Services with the following required elements: Communication (direct contact, telephone, electronic) with the patient and/or caregiver within 2 business days of discharge. Medical decision making of high complexity during the service period, face-to-face visit within 7 calendar days of discharge, 75 minutes","N/A",984.35,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Nurse Practitioner","G0316",787.48,15,"N/A","N/A","N/A","Assessment","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",196.87,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Nurse Practitioner","G0396",787.48,23,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 15-30 Minutes","N/A",301.87,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Nurse Practitioner","G0397",787.48,60,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 31-1440 Minutes","N/A",787.48,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Nurse Practitioner","G0539",787.48,23,"N/A","N/A","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",301.87,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Nurse Practitioner","G0540",787.48,15,"N/A","N/A","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",196.87,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Nurse Practitioner","G0541",787.48,23,"N/A","N/A","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",301.87,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Nurse Practitioner","G0542",787.48,15,"N/A","N/A","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",196.87,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Nurse Practitioner","G0543",787.48,45,"N/A","N/A","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",131.25,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Nurse Practitioner","G2011",787.48,10,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 5-14 Minutes","N/A",131.25,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Nurse Practitioner","H0001",787.48,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug assessment, 15 minutes","N/A",196.87,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Nurse Practitioner","H0003",787.48,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening. Laboratory analysis of specimens for presence of alcohol and/or drugs, 15 minutes","N/A",196.87,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Nurse Practitioner","H0004",787.48,15,"N/A","N/A","N/A","Individual Counseling","Behavioral health counseling and therapy, 15 minutes","N/A",196.87,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Nurse Practitioner","H0005",787.48,15,"N/A","N/A","N/A","Group Counseling","Alcohol and/or drug services; group counseling by a clinician, 15 minutes ","N/A",43.75,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Nurse Practitioner","H0007",787.48,15,"N/A","N/A","N/A","Crisis Intervention","Alcohol and/or drug services; crisis intervention (outpatient), 15 minutes","N/A",196.87,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Nurse Practitioner","H0008",787.48,15,"N/A","N/A","N/A","Recovery","Alcohol and/or drug services: (hospital inpatient) Subacute detoxification, 15 minutes","N/A",196.87,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Nurse Practitioner","H0009",787.48,15,"N/A","N/A","N/A","Recovery","Alcohol and/or drug services:  (hospital inpatient) Acute detoxification, 15 minutes","N/A",196.87,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Nurse Practitioner","H0033",787.48,15,"N/A","N/A","N/A","Medication Services","Medication administration, direct observation, 15 minutes","N/A",196.87,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Nurse Practitioner","H0034",787.48,15,"N/A","HQ","N/A","Medication Services","Medication training and support, 15 minutes","N/A",43.75,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Nurse Practitioner","H0034",787.48,15,"N/A","N/A","N/A","Medication Services","Medication training and support, 15 minutes","N/A",196.87,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Nurse Practitioner","H0048",787.48,15,"N/A","N/A","N/A","Assessment","Alcohol and/or other drug testing. Collection and handling only, specimens other than blood, 15 minutes","N/A",196.87,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Nurse Practitioner","H0049",787.48,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening, 15 minutes","N/A",196.87,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Nurse Practitioner","H0050",787.48,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or Drug Services, brief intervention, 15 minutes","N/A",196.87,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Nurse Practitioner","H1000",787.48,15,"N/A","N/A","N/A","Assessment","Prenatal Care, at risk assessment, 15 minutes ","N/A",196.87,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Nurse Practitioner","H2014",787.48,15,"N/A","HQ","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",43.75,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Nurse Practitioner","H2014",787.48,15,"N/A","N/A","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",196.87,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Nurse Practitioner","H2015",787.48,15,"N/A","N/A","N/A","Recovery","Comprehensive community support services, 15 minutes","N/A",196.87,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Nurse Practitioner","H2017",787.48,15,"N/A","HQ","N/A","Recovery","Psychosocial rehabilitation services, 15 Minutes","N/A",43.75,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Nurse Practitioner","H2017",787.48,15,"N/A","N/A","N/A","Recovery","Psychosocial rehabilitation services, 15 Minutes","N/A",196.87,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Nurse Practitioner","H2021",787.48,15,"N/A","N/A","N/A","Treatment Planning","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",196.87,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Nurse Practitioner","H2027",787.48,15,"N/A","N/A","N/A","Treatment Planning","Psychoeducational Service, 15 minutes","N/A",196.87,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Nurse Practitioner","H2035",787.48,60,"N/A","N/A","N/A","Recovery","Alcohol and/or other drug treatment program, per hour ","N/A",787.48,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Nurse Practitioner","T1006",787.48,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or substance abuse services, family/couple counseling, 15 minutes","N/A",196.87,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Nurse Practitioner","T1007",787.48,15,"N/A","N/A","N/A","Treatment Planning","Alcohol and/or substance abuse services, treatment plan development and/or modification, 15 minutes","N/A",196.87,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Nurse Practitioner","T1013",787.48,"N/A","N/A","N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Nurse Practitioner","T1017",787.48,15,"N/A","N/A","N/A","Care Coordination","Targeted case management, 15 minutes","N/A",196.87,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Nurse Practitioner","T2021",787.48,15,"N/A","HQ","N/A","Family Therapy","Therapy substitute, 15 minutes","N/A",43.75,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Nurse Practitioner","T2021",787.48,15,"N/A","N/A","N/A","Family Therapy","Therapy substitute, 15 minutes","N/A",196.87,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Nurse Practitioner","T2021",787.48,15,"N/A",22,"N/A","Family Therapy","Therapy substitute, 15 minutes","N/A",199.88,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Nurse Practitioner","T2024",787.48,15,"N/A","N/A","N/A","Assessment","Assessment substitute, 15 minutes","N/A",196.87,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Occupational Therapist",90785,548.62,"N/A","N/A","N/A","N/A","Supplemental","Interactive complexity. There is no assigned time for this code. ","N/A",18.89,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Occupational Therapist",90882,548.62,15,"N/A","N/A","N/A","Care Coordination","Environmental intervention for medical management purposes on a psychiatric patient's behalf with agencies, employers, or institutions, 15 minutes","N/A",137.16,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Occupational Therapist",90887,548.62,50,"N/A","N/A","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",457.18,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Occupational Therapist",90889,548.62,15,"N/A","N/A","N/A","Care Coordination","Preparation of report of patient's psychiatric status, history, treatment, or progress (other than for legal or consultative purposes) for other individuals, agencies, or insurance carriers, 15 minutes","N/A",137.16,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Occupational Therapist",96160,548.62,15,"N/A","N/A","N/A","Care Coordination","Administration of patient-focused health risk assessment instrument (eg, health hazard appraisal) with scoring and documentation, per standardized instrument, 15 minutes","N/A",137.16,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Occupational Therapist",96170,548.62,30,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; initial 30 minutes","N/A",274.31,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Occupational Therapist",96171,548.62,15,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; each additional 15 minutes","N/A",137.16,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Occupational Therapist",96202,548.62,60,"N/A","N/A","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",121.92,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Occupational Therapist",96203,548.62,15,"N/A","N/A","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",30.48,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Occupational Therapist",97550,548.62,23,"N/A","N/A","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",210.3,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Occupational Therapist",97551,548.62,15,"N/A","N/A","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",137.16,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Occupational Therapist",97552,548.62,45,"N/A","N/A","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",91.44,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Occupational Therapist","G0539",548.62,23,"N/A","N/A","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",210.3,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Occupational Therapist","G0540",548.62,15,"N/A","N/A","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",137.16,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Occupational Therapist","G0541",548.62,23,"N/A","N/A","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",210.3,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Occupational Therapist","G0542",548.62,15,"N/A","N/A","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",137.16,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Occupational Therapist","G0543",548.62,45,"N/A","N/A","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",91.44,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Occupational Therapist","H0001",548.62,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug assessment, 15 minutes","N/A",137.16,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Occupational Therapist","H0004",548.62,15,"N/A","N/A","N/A","Individual Counseling","Behavioral health counseling and therapy, 15 minutes","N/A",137.16,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Occupational Therapist","H0005",548.62,15,"N/A","N/A","N/A","Group Counseling","Alcohol and/or drug services; group counseling by a clinician, 15 minutes ","N/A",30.48,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Occupational Therapist","H0007",548.62,15,"N/A","N/A","N/A","Crisis Intervention","Alcohol and/or drug services; crisis intervention (outpatient), 15 minutes","N/A",137.16,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Occupational Therapist","H0033",548.62,15,"N/A","N/A","N/A","Medication Services","Medication administration, direct observation, 15 minutes","N/A",137.16,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Occupational Therapist","H0050",548.62,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or Drug Services, brief intervention, 15 minutes","N/A",137.16,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Occupational Therapist","H2014",548.62,15,"N/A","HQ","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",30.48,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Occupational Therapist","H2014",548.62,15,"N/A","N/A","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",137.16,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Occupational Therapist","H2015",548.62,15,"N/A","N/A","N/A","Recovery","Comprehensive community support services, 15 minutes","N/A",137.16,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Occupational Therapist","H2017",548.62,15,"N/A","HQ","N/A","Recovery","Psychosocial rehabilitation services, 15 Minutes","N/A",30.48,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Occupational Therapist","H2017",548.62,15,"N/A","N/A","N/A","Recovery","Psychosocial rehabilitation services, 15 Minutes","N/A",137.16,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Occupational Therapist","H2021",548.62,15,"N/A","N/A","N/A","Treatment Planning","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",137.16,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Occupational Therapist","H2027",548.62,15,"N/A","N/A","N/A","Treatment Planning","Psychoeducational Service, 15 minutes","N/A",137.16,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Occupational Therapist","T1007",548.62,15,"N/A","N/A","N/A","Treatment Planning","Alcohol and/or substance abuse services, treatment plan development and/or modification, 15 minutes","N/A",137.16,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Occupational Therapist","T1013",548.62,"N/A","N/A","N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Occupational Therapist","T1017",548.62,15,"N/A","N/A","N/A","Care Coordination","Targeted case management, 15 minutes","N/A",137.16,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Occupational Therapist","T2024",548.62,15,"N/A","N/A","N/A","Assessment","Assessment substitute, 15 minutes","N/A",137.16,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Other Qualified Practitioner",90785,310.07,"N/A","N/A","N/A","N/A","Supplemental","Interactive complexity. There is no assigned time for this code. ","N/A",18.32,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Other Qualified Practitioner",90882,310.07,15,"N/A","N/A","N/A","Care Coordination","Environmental intervention for medical management purposes on a psychiatric patient's behalf with agencies, employers, or institutions, 15 minutes","N/A",77.52,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Other Qualified Practitioner","G0396",310.07,23,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 15-30 Minutes","N/A",118.86,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Other Qualified Practitioner","G0397",310.07,60,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 31-1440 Minutes","N/A",310.07,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Other Qualified Practitioner","G2011",310.07,10,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 5-14 Minutes","N/A",51.68,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Other Qualified Practitioner","H0001",310.07,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug assessment, 15 minutes","N/A",77.52,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Other Qualified Practitioner","H0049",310.07,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening, 15 minutes","N/A",77.52,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Other Qualified Practitioner","H0050",310.07,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or Drug Services, brief intervention, 15 minutes","N/A",77.52,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Other Qualified Practitioner","H1000",310.07,15,"N/A","N/A","N/A","Assessment","Prenatal Care, at risk assessment, 15 minutes ","N/A",77.52,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Other Qualified Practitioner","H2014",310.07,15,"N/A","HQ","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",17.23,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Other Qualified Practitioner","H2014",310.07,15,"N/A","N/A","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",77.52,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Other Qualified Practitioner","H2015",310.07,15,"N/A","N/A","N/A","Recovery","Comprehensive community support services, 15 minutes","N/A",77.52,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Other Qualified Practitioner","H2017",310.07,15,"N/A","HQ","N/A","Recovery","Psychosocial rehabilitation services, 15 Minutes","N/A",17.23,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Other Qualified Practitioner","H2017",310.07,15,"N/A","N/A","N/A","Recovery","Psychosocial rehabilitation services, 15 Minutes","N/A",77.52,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Other Qualified Practitioner","H2021",310.07,15,"N/A","N/A","N/A","Treatment Planning","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",77.52,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Other Qualified Practitioner","H2027",310.07,15,"N/A","N/A","N/A","Treatment Planning","Psychoeducational Service, 15 minutes","N/A",77.52,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Other Qualified Practitioner","H2035",310.07,60,"N/A","N/A","N/A","Recovery","Alcohol and/or other drug treatment program, per hour ","N/A",310.07,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Other Qualified Practitioner","T1013",310.07,"N/A","N/A","N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Other Qualified Practitioner","T1017",310.07,15,"N/A","N/A","N/A","Care Coordination","Targeted case management, 15 minutes","N/A",77.52,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Other Qualified Practitioner","T2024",310.07,15,"N/A","N/A","N/A","Assessment","Assessment substitute, 15 minutes","N/A",77.52,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Peer Support Specialists","H0025",325.58,15,"N/A","N/A","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",18.09,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Peer Support Specialists","H0038",325.58,15,"N/A","N/A","N/A","Peer Support","Self-help/peer services (individual), 15 minutes","N/A",81.400000000000006,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Peer Support Specialists","H0050",325.58,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or Drug Services, brief intervention, 15 minutes","N/A",81.400000000000006,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Physician Assistant",90785,710.23,"N/A","N/A","N/A","N/A","Supplemental","Interactive complexity. There is no assigned time for this code. ","N/A",18.89,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Physician Assistant",90791,710.23,60,"N/A","N/A","N/A","Assessment","Psychiatric diagnostic evaluation, 60 minutes","N/A",710.23,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Physician Assistant",90792,710.23,60,"N/A","N/A","N/A","Assessment","Psychiatric diagnostic evaluation with medical services, 60 minutes","N/A",710.23,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Physician Assistant",90846,710.23,50,"N/A","N/A","N/A","Family Therapy","Family Psychotherapy (Without the Patient Present), 50 minutes","N/A",591.86,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Physician Assistant",90847,710.23,50,"N/A","N/A","N/A","Family Therapy","Family Psychotherapy (Conjoint psychotheraphy with Patient Present), 50 minutes","N/A",591.86,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Physician Assistant",90849,710.23,84,"N/A","N/A","N/A","Family Therapy","Multiple-family group psychotherapy, 84 minutes","N/A",220.96,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Physician Assistant",90865,710.23,90,"N/A","N/A","N/A","Assessment","Nacrosynthesis for psychiatric diagnostic and therapeutic purposes (eg, sodium amobarbital (Amytal) interview), 90 minutes","N/A",1065.3499999999999,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Physician Assistant",90882,710.23,15,"N/A","N/A","N/A","Care Coordination","Environmental intervention for medical management purposes on a psychiatric patient's behalf with agencies, employers, or institutions, 15 minutes","N/A",177.56,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Physician Assistant",90885,710.23,60,"N/A","N/A","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",710.23,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Physician Assistant",90887,710.23,50,"N/A","N/A","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",591.86,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Physician Assistant",90889,710.23,15,"N/A","N/A","N/A","Care Coordination","Preparation of report of patient's psychiatric status, history, treatment, or progress (other than for legal or consultative purposes) for other individuals, agencies, or insurance carriers, 15 minutes","N/A",177.56,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Physician Assistant",96130,710.23,60,"N/A","N/A","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",710.23,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Physician Assistant",96131,710.23,60,"N/A","N/A","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",710.23,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Physician Assistant",96160,710.23,15,"N/A","N/A","N/A","Care Coordination","Administration of patient-focused health risk assessment instrument (eg, health hazard appraisal) with scoring and documentation, per standardized instrument, 15 minutes","N/A",177.56,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Physician Assistant",96170,710.23,30,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; initial 30 minutes","N/A",355.12,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Physician Assistant",96171,710.23,15,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; each additional 15 minutes","N/A",177.56,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Physician Assistant",96202,710.23,60,"N/A","N/A","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",157.83000000000001,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Physician Assistant",96203,710.23,15,"N/A","N/A","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",39.46,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Physician Assistant",97550,710.23,23,"N/A","N/A","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",272.25,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Physician Assistant",97551,710.23,15,"N/A","N/A","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",177.56,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Physician Assistant",97552,710.23,45,"N/A","N/A","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",118.37,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Physician Assistant",98966,710.23,8,"N/A","N/A","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",94.7,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Physician Assistant",98967,710.23,16,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Physician Assistant",98968,710.23,26,"N/A","N/A","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",307.77,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Physician Assistant",99202,710.23,22,"N/A","N/A","N/A","Assessment","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. 15-29 minutes total time on the date of the encounter.","N/A",260.42,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Physician Assistant",99203,710.23,37,"N/A","N/A","N/A","Assessment","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. 30-44 minutes total time on the date of the encounter.","N/A",437.98,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Physician Assistant",99204,710.23,52,"N/A","N/A","N/A","Assessment","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. 45-59 minutes total time on the date of the encounter.","N/A",615.53,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Physician Assistant",99205,710.23,67,"N/A","N/A","N/A","Assessment","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. 60-74 minutes total time on the date of the encounter.","N/A",793.09,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Physician Assistant",99212,710.23,15,"N/A","N/A","N/A","Assessment","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. 10-19 minutes total time on the date of the encounter.","N/A",177.56,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Physician Assistant",99213,710.23,25,"N/A","N/A","N/A","Assessment","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. 20-29 minutes total time on the date of the encounter.","N/A",295.93,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Physician Assistant",99214,710.23,35,"N/A","N/A","N/A","Assessment","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. 30-39 minutes total time on the date of the encounter.","N/A",414.3,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Physician Assistant",99215,710.23,47,"N/A","N/A","N/A","Assessment","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. 40-54 minutes total time on the date of the encounter.","N/A",556.35,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Physician Assistant",99234,710.23,57,"N/A","N/A","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. 45-69 minutes total time on the date of the encounter.","N/A",674.72,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Physician Assistant",99235,710.23,77,"N/A","N/A","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. 70-84 minutes total time on the date of the encounter.","N/A",911.46,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Physician Assistant",99236,710.23,92,"N/A","N/A","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. 85-99 minutes total time on the date of the encounter.","N/A",1089.02,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Physician Assistant",99238,710.23,30,"N/A","N/A","N/A","Discharge","Hospital inpatient or observation discharge day management; 30 minutes or less on the date of the encounter","N/A",355.12,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Physician Assistant",99239,710.23,60,"N/A","N/A","N/A","Discharge","Hospital inpatient or observation discharge day management; 30-1440 minutes on the date of the encounter","N/A",710.23,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Physician Assistant",99304,710.23,30,"N/A","N/A","N/A","Assessment","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. 25-34 minutes total time on the date of the encounter.","N/A",355.12,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Physician Assistant",99305,710.23,42,"N/A","N/A","N/A","Assessment","\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. 35-49 minutes total time on the date of the encounter.","N/A",497.16,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Physician Assistant",99306,710.23,57,"N/A","N/A","N/A","Assessment","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. 50-64 minutes total time on the date of the encounter.","N/A",674.72,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Physician Assistant",99307,710.23,15,"N/A","N/A","N/A","Assessment","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. 10-19 minutes total time on the date of the encounter for code selection.","N/A",177.56,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Physician Assistant",99308,710.23,25,"N/A","N/A","N/A","Assessment","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. 20-29 minutes total time on the date of the encounter.","N/A",295.93,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Physician Assistant",99309,710.23,37,"N/A","N/A","N/A","Assessment","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. 30-44 minutes total time on the date of the encounter.\t","N/A",437.98,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Physician Assistant",99310,710.23,52,"N/A","N/A","N/A","Assessment","\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. 45-59 minutes total time on the date of the encounter.","N/A",615.53,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Physician Assistant",99341,710.23,22,"N/A","N/A","N/A","Assessment","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. 15-29 minutes total time on the date of the encounter.","N/A",260.42,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Physician Assistant",99342,710.23,45,"N/A","N/A","N/A","Assessment","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. 30-59 minutes total time on the date of the encounter.","N/A",532.66999999999996,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Physician Assistant",99344,710.23,67,"N/A","N/A","N/A","Assessment","\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. 60-74 minutes total time on the date of the encounter.","N/A",793.09,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Physician Assistant",99345,710.23,82,"N/A","N/A","N/A","Assessment","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. 75-89 minutes total time on the date of the encounter.","N/A",970.65,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Physician Assistant",99347,710.23,25,"N/A","N/A","N/A","Assessment","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. 20-29 minutes total time on the date of the encounter.","N/A",295.93,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Physician Assistant",99348,710.23,35,"N/A","N/A","N/A","Assessment","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. 30-39 minutes total time on the date of the encounter.","N/A",414.3,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Physician Assistant",99349,710.23,50,"N/A","N/A","N/A","Assessment","\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. 40-59 minutes total time on the date of the encounter.","N/A",591.86,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Physician Assistant",99350,710.23,67,"N/A","N/A","N/A","Assessment","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. 60-74 minutes total time on the date of the encounter.","N/A",793.09,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Physician Assistant",99368,710.23,60,"N/A","N/A","N/A","Care Coordination","Medical team conference with interdisciplinary team of health care professionals, patient and/or family not present, 30-1440 minutes; participation by nonphysician qualified health care professional","N/A",710.23,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Physician Assistant",99408,710.23,23,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or substance (other than tobacco) abuse structural screening (eg, AUDIT ,DAST), and brief intervention (SBI) services. 15-30 minutes. ","N/A",272.25,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Physician Assistant",99409,710.23,60,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or substance (other than tobacco) abuse structural screening (eg, AUDIT ,DAST), and brief intervention (SBI) services. 31-1440 minutes. ","N/A",710.23,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Physician Assistant",99415,710.23,60,"N/A","N/A","N/A","Assessment","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",710.23,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Physician Assistant",99416,710.23,30,"N/A","N/A","N/A","Assessment","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",355.12,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Physician Assistant",99417,710.23,15,"N/A","N/A","N/A","Assessment","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 (This code does not follow the midpoint rule. A  full 15 minutes must be met before one unit of 99417 can be claimed).","N/A",177.56,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Physician Assistant",99418,710.23,15,"N/A","N/A","N/A","Assessment","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 (This code does not follow the midpoint rule. A full 15 minutes must be met before one unit of 99418 can be claimed).","N/A",177.56,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Physician Assistant",99424,710.23,30,"N/A","N/A","N/A","Care Coordination","Principal care management services, for a single high-risk disease, first 30 minutes provided personally by a physician or other qualified health care professional, per calendar month. At least 30 minutes of service must be provided before 1 unit of this code can be reported.","N/A",355.12,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Physician Assistant",99425,710.23,30,"N/A","N/A","N/A","Care Coordination","Principal care management services, for a single high-risk disease, each additional 30 minutes provided personally by a physician or other qualified health care professional, per calendar month. Code 99425 is reported in conjunction with 99424, when at least an additional 30 minutes of service time is provided beyond 99424.","N/A",355.12,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Physician Assistant",99437,710.23,30,"N/A","N/A","N/A","Care Coordination","Chronic care management services, each additional 30 minutes by a physician or other qualified health care professional, per calendar month. Code 99437 is reported in conjunction with 99491, when at least an additional 30 minutes of service time is provided beyond 99491.","N/A",355.12,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Physician Assistant",99441,710.23,8,"N/A","N/A","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",94.7,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Physician Assistant",99442,710.23,16,"N/A","N/A","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",189.39,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Physician Assistant",99443,710.23,26,"N/A","N/A","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",307.77,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Physician Assistant",99491,710.23,30,"N/A","N/A","N/A","Care Coordination","Chronic care management services, first 30 minutes provided personally by a physician or other qualified health care professional, per calendar month. At least 30 minutes of service must be provided before 1 unit of this code can be reported.","N/A",355.12,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Physician Assistant",99495,710.23,54,"N/A","N/A","N/A","Discharge","Transitional Care Management Services with the following required elements: Communication (direct contact, telephone, electronic) with the patient and/or caregiver within 2 business days of discharge. Medical decision making of at least moderate complexity during the service period, face-to-face visit within 14 calendar days of discharge, 54 minutes","N/A",639.21,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Physician Assistant",99496,710.23,75,"N/A","N/A","N/A","Discharge","Transitional Care Management Services with the following required elements: Communication (direct contact, telephone, electronic) with the patient and/or caregiver within 2 business days of discharge. Medical decision making of high complexity during the service period, face-to-face visit within 7 calendar days of discharge, 75 minutes","N/A",887.79,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Physician Assistant","G0316",710.23,15,"N/A","N/A","N/A","Assessment","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",177.56,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Physician Assistant","G0396",710.23,23,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 15-30 Minutes","N/A",272.25,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Physician Assistant","G0397",710.23,60,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 31-1440 Minutes","N/A",710.23,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Physician Assistant","G0539",710.23,23,"N/A","N/A","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",272.25,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Physician Assistant","G0540",710.23,15,"N/A","N/A","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",177.56,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Physician Assistant","G0541",710.23,23,"N/A","N/A","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",272.25,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Physician Assistant","G0542",710.23,15,"N/A","N/A","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",177.56,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Physician Assistant","G0543",710.23,45,"N/A","N/A","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",118.37,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Physician Assistant","G2011",710.23,10,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 5-14 Minutes","N/A",118.37,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Physician Assistant","H0001",710.23,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug assessment, 15 minutes","N/A",177.56,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Physician Assistant","H0003",710.23,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening. Laboratory analysis of specimens for presence of alcohol and/or drugs, 15 minutes","N/A",177.56,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Physician Assistant","H0004",710.23,15,"N/A","N/A","N/A","Individual Counseling","Behavioral health counseling and therapy, 15 minutes","N/A",177.56,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Physician Assistant","H0005",710.23,15,"N/A","N/A","N/A","Group Counseling","Alcohol and/or drug services; group counseling by a clinician, 15 minutes ","N/A",39.46,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Physician Assistant","H0007",710.23,15,"N/A","N/A","N/A","Crisis Intervention","Alcohol and/or drug services; crisis intervention (outpatient), 15 minutes","N/A",177.56,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Physician Assistant","H0008",710.23,15,"N/A","N/A","N/A","Recovery","Alcohol and/or drug services: (hospital inpatient) Subacute detoxification, 15 minutes","N/A",177.56,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Physician Assistant","H0009",710.23,15,"N/A","N/A","N/A","Recovery","Alcohol and/or drug services:  (hospital inpatient) Acute detoxification, 15 minutes","N/A",177.56,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Physician Assistant","H0033",710.23,15,"N/A","N/A","N/A","Medication Services","Medication administration, direct observation, 15 minutes","N/A",177.56,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Physician Assistant","H0034",710.23,15,"N/A","HQ","N/A","Medication Services","Medication training and support, 15 minutes","N/A",39.46,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Physician Assistant","H0034",710.23,15,"N/A","N/A","N/A","Medication Services","Medication training and support, 15 minutes","N/A",177.56,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Physician Assistant","H0048",710.23,15,"N/A","N/A","N/A","Assessment","Alcohol and/or other drug testing. Collection and handling only, specimens other than blood, 15 minutes","N/A",177.56,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Physician Assistant","H0049",710.23,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening, 15 minutes","N/A",177.56,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Physician Assistant","H0050",710.23,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or Drug Services, brief intervention, 15 minutes","N/A",177.56,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Physician Assistant","H1000",710.23,15,"N/A","N/A","N/A","Assessment","Prenatal Care, at risk assessment, 15 minutes ","N/A",177.56,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Physician Assistant","H2014",710.23,15,"N/A","HQ","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",39.46,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Physician Assistant","H2014",710.23,15,"N/A","N/A","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",177.56,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Physician Assistant","H2015",710.23,15,"N/A","N/A","N/A","Recovery","Comprehensive community support services, 15 minutes","N/A",177.56,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Physician Assistant","H2017",710.23,15,"N/A","HQ","N/A","Recovery","Psychosocial rehabilitation services, 15 Minutes","N/A",39.46,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Physician Assistant","H2017",710.23,15,"N/A","N/A","N/A","Recovery","Psychosocial rehabilitation services, 15 Minutes","N/A",177.56,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Physician Assistant","H2021",710.23,15,"N/A","N/A","N/A","Treatment Planning","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",177.56,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Physician Assistant","H2027",710.23,15,"N/A","N/A","N/A","Treatment Planning","Psychoeducational Service, 15 minutes","N/A",177.56,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Physician Assistant","H2035",710.23,60,"N/A","N/A","N/A","Recovery","Alcohol and/or other drug treatment program, per hour ","N/A",710.23,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Physician Assistant","T1006",710.23,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or substance abuse services, family/couple counseling, 15 minutes","N/A",177.56,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Physician Assistant","T1007",710.23,15,"N/A","N/A","N/A","Treatment Planning","Alcohol and/or substance abuse services, treatment plan development and/or modification, 15 minutes","N/A",177.56,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Physician Assistant","T1013",710.23,"N/A","N/A","N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Physician Assistant","T1017",710.23,15,"N/A","N/A","N/A","Care Coordination","Targeted case management, 15 minutes","N/A",177.56,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Physician Assistant","T2021",710.23,15,"N/A","HQ","N/A","Family Therapy","Therapy substitute, 15 minutes","N/A",39.46,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Physician Assistant","T2021",710.23,15,"N/A","N/A","N/A","Family Therapy","Therapy substitute, 15 minutes","N/A",177.56,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Physician Assistant","T2021",710.23,15,"N/A",22,"N/A","Family Therapy","Therapy substitute, 15 minutes","N/A",180.57,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Physician Assistant","T2024",710.23,15,"N/A","N/A","N/A","Assessment","Assessment substitute, 15 minutes","N/A",177.56,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Psychologist (Licensed or Waivered)",90785,636.87,"N/A","N/A","N/A","N/A","Supplemental","Interactive complexity. There is no assigned time for this code. ","N/A",18.89,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Psychologist (Licensed or Waivered)",90791,636.87,60,"N/A","N/A","N/A","Assessment","Psychiatric diagnostic evaluation, 60 minutes","N/A",636.87,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Psychologist (Licensed or Waivered)",90846,636.87,50,"N/A","N/A","N/A","Family Therapy","Family Psychotherapy (Without the Patient Present), 50 minutes","N/A",530.73,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Psychologist (Licensed or Waivered)",90847,636.87,50,"N/A","N/A","N/A","Family Therapy","Family Psychotherapy (Conjoint psychotheraphy with Patient Present), 50 minutes","N/A",530.73,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Psychologist (Licensed or Waivered)",90849,636.87,84,"N/A","N/A","N/A","Family Therapy","Multiple-family group psychotherapy, 84 minutes","N/A",198.14,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Psychologist (Licensed or Waivered)",90882,636.87,15,"N/A","N/A","N/A","Care Coordination","Environmental intervention for medical management purposes on a psychiatric patient's behalf with agencies, employers, or institutions, 15 minutes","N/A",159.22,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Psychologist (Licensed or Waivered)",90885,636.87,60,"N/A","N/A","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",636.87,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Psychologist (Licensed or Waivered)",90887,636.87,50,"N/A","N/A","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",530.73,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Psychologist (Licensed or Waivered)",90889,636.87,15,"N/A","N/A","N/A","Care Coordination","Preparation of report of patient's psychiatric status, history, treatment, or progress (other than for legal or consultative purposes) for other individuals, agencies, or insurance carriers, 15 minutes","N/A",159.22,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Psychologist (Licensed or Waivered)",96130,636.87,60,"N/A","N/A","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",636.87,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Psychologist (Licensed or Waivered)",96131,636.87,60,"N/A","N/A","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",636.87,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Psychologist (Licensed or Waivered)",96160,636.87,15,"N/A","N/A","N/A","Care Coordination","Administration of patient-focused health risk assessment instrument (eg, health hazard appraisal) with scoring and documentation, per standardized instrument, 15 minutes","N/A",159.22,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Psychologist (Licensed or Waivered)",96170,636.87,30,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; initial 30 minutes","N/A",318.44,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Psychologist (Licensed or Waivered)",96171,636.87,15,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; each additional 15 minutes","N/A",159.22,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Psychologist (Licensed or Waivered)",96202,636.87,60,"N/A","N/A","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",141.53,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Psychologist (Licensed or Waivered)",96203,636.87,15,"N/A","N/A","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",35.380000000000003,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Psychologist (Licensed or Waivered)",97550,636.87,23,"N/A","N/A","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",244.13,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Psychologist (Licensed or Waivered)",97551,636.87,15,"N/A","N/A","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",159.22,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Psychologist (Licensed or Waivered)",97552,636.87,45,"N/A","N/A","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",106.15,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Psychologist (Licensed or Waivered)",98966,636.87,8,"N/A","N/A","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",84.92,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Psychologist (Licensed or Waivered)",98967,636.87,16,"N/A","N/A","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",169.83,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Psychologist (Licensed or Waivered)",98968,636.87,26,"N/A","N/A","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",275.98,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Psychologist (Licensed or Waivered)",99368,636.87,60,"N/A","N/A","N/A","Care Coordination","Medical team conference with interdisciplinary team of health care professionals, patient and/or family not present, 30-1440 minutes; participation by nonphysician qualified health care professional","N/A",636.87,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Psychologist (Licensed or Waivered)","G0323",636.87,60,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Psychologist (Licensed or Waivered)","G0396",636.87,23,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 15-30 Minutes","N/A",244.13,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Psychologist (Licensed or Waivered)","G0397",636.87,60,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 31-1440 Minutes","N/A",636.87,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Psychologist (Licensed or Waivered)","G0539",636.87,23,"N/A","N/A","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",244.13,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Psychologist (Licensed or Waivered)","G0540",636.87,15,"N/A","N/A","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",159.22,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Psychologist (Licensed or Waivered)","G0541",636.87,23,"N/A","N/A","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",244.13,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Psychologist (Licensed or Waivered)","G0542",636.87,15,"N/A","N/A","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",159.22,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Psychologist (Licensed or Waivered)","G0543",636.87,45,"N/A","N/A","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",106.15,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Psychologist (Licensed or Waivered)","G2011",636.87,10,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 5-14 Minutes","N/A",106.15,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Psychologist (Licensed or Waivered)","H0001",636.87,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug assessment, 15 minutes","N/A",159.22,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Psychologist (Licensed or Waivered)","H0003",636.87,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening. Laboratory analysis of specimens for presence of alcohol and/or drugs, 15 minutes","N/A",159.22,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Psychologist (Licensed or Waivered)","H0004",636.87,15,"N/A","N/A","N/A","Individual Counseling","Behavioral health counseling and therapy, 15 minutes","N/A",159.22,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Psychologist (Licensed or Waivered)","H0005",636.87,15,"N/A","N/A","N/A","Group Counseling","Alcohol and/or drug services; group counseling by a clinician, 15 minutes ","N/A",35.380000000000003,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Psychologist (Licensed or Waivered)","H0007",636.87,15,"N/A","N/A","N/A","Crisis Intervention","Alcohol and/or drug services; crisis intervention (outpatient), 15 minutes","N/A",159.22,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Psychologist (Licensed or Waivered)","H0049",636.87,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening, 15 minutes","N/A",159.22,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Psychologist (Licensed or Waivered)","H0050",636.87,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or Drug Services, brief intervention, 15 minutes","N/A",159.22,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Psychologist (Licensed or Waivered)","H1000",636.87,15,"N/A","N/A","N/A","Assessment","Prenatal Care, at risk assessment, 15 minutes ","N/A",159.22,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Psychologist (Licensed or Waivered)","H2014",636.87,15,"N/A","HQ","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",35.380000000000003,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Psychologist (Licensed or Waivered)","H2014",636.87,15,"N/A","N/A","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",159.22,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Psychologist (Licensed or Waivered)","H2027",636.87,15,"N/A","N/A","N/A","Treatment Planning","Psychoeducational Service, 15 minutes","N/A",159.22,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Psychologist (Licensed or Waivered)","H2035",636.87,60,"N/A","N/A","N/A","Recovery","Alcohol and/or other drug treatment program, per hour ","N/A",636.87,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Psychologist (Licensed or Waivered)","T1006",636.87,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or substance abuse services, family/couple counseling, 15 minutes","N/A",159.22,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Psychologist (Licensed or Waivered)","T1007",636.87,15,"N/A","N/A","N/A","Treatment Planning","Alcohol and/or substance abuse services, treatment plan development and/or modification, 15 minutes","N/A",159.22,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Psychologist (Licensed or Waivered)","T1013",636.87,"N/A","N/A","N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Psychologist (Licensed or Waivered)","T1017",636.87,15,"N/A","N/A","N/A","Care Coordination","Targeted case management, 15 minutes","N/A",159.22,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Psychologist (Licensed or Waivered)","T2021",636.87,15,"N/A","HQ","N/A","Family Therapy","Therapy substitute, 15 minutes","N/A",35.380000000000003,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Psychologist (Licensed or Waivered)","T2021",636.87,15,"N/A","N/A","N/A","Family Therapy","Therapy substitute, 15 minutes","N/A",159.22,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Psychologist (Licensed or Waivered)","T2021",636.87,15,"N/A",22,"N/A","Family Therapy","Therapy substitute, 15 minutes","N/A",162.22999999999999,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Psychologist (Licensed or Waivered)","T2024",636.87,15,"N/A","N/A","N/A","Assessment","Assessment substitute, 15 minutes","N/A",159.22,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Registered Nurse",90785,643.23,"N/A","N/A","N/A","N/A","Supplemental","Interactive complexity. There is no assigned time for this code. ","N/A",18.89,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Registered Nurse",90882,643.23,15,"N/A","N/A","N/A","Care Coordination","Environmental intervention for medical management purposes on a psychiatric patient's behalf with agencies, employers, or institutions, 15 minutes","N/A",160.81,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Registered Nurse",90887,643.23,50,"N/A","N/A","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",536.03,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Registered Nurse",90889,643.23,15,"N/A","N/A","N/A","Care Coordination","Preparation of report of patient's psychiatric status, history, treatment, or progress (other than for legal or consultative purposes) for other individuals, agencies, or insurance carriers, 15 minutes","N/A",160.81,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Registered Nurse",96160,643.23,15,"N/A","N/A","N/A","Care Coordination","Administration of patient-focused health risk assessment instrument (eg, health hazard appraisal) with scoring and documentation, per standardized instrument, 15 minutes","N/A",160.81,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Registered Nurse",96170,643.23,30,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; initial 30 minutes","N/A",321.62,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Registered Nurse",96171,643.23,15,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; each additional 15 minutes","N/A",160.81,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Registered Nurse",96202,643.23,60,"N/A","N/A","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",142.94,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Registered Nurse",96203,643.23,15,"N/A","N/A","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",35.74,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Registered Nurse",97550,643.23,23,"N/A","N/A","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",246.57,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Registered Nurse",97551,643.23,15,"N/A","N/A","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",160.81,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Registered Nurse",97552,643.23,45,"N/A","N/A","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",107.21,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Registered Nurse",99238,643.23,30,"N/A","N/A","N/A","Discharge","Hospital inpatient or observation discharge day management; 30 minutes or less on the date of the encounter","N/A",321.62,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Registered Nurse",99239,643.23,60,"N/A","N/A","N/A","Discharge","Hospital inpatient or observation discharge day management; 30-1440 minutes on the date of the encounter","N/A",643.23,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Registered Nurse",99368,643.23,60,"N/A","N/A","N/A","Care Coordination","Medical team conference with interdisciplinary team of health care professionals, patient and/or family not present, 30-1440 minutes; participation by nonphysician qualified health care professional","N/A",643.23,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Registered Nurse",99424,643.23,30,"N/A","N/A","N/A","Care Coordination","Principal care management services, for a single high-risk disease, first 30 minutes provided personally by a physician or other qualified health care professional, per calendar month. At least 30 minutes of service must be provided before 1 unit of this code can be reported.","N/A",321.62,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Registered Nurse",99425,643.23,30,"N/A","N/A","N/A","Care Coordination","Principal care management services, for a single high-risk disease, each additional 30 minutes provided personally by a physician or other qualified health care professional, per calendar month. Code 99425 is reported in conjunction with 99424, when at least an additional 30 minutes of service time is provided beyond 99424.","N/A",321.62,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Registered Nurse",99437,643.23,30,"N/A","N/A","N/A","Care Coordination","Chronic care management services, each additional 30 minutes by a physician or other qualified health care professional, per calendar month. Code 99437 is reported in conjunction with 99491, when at least an additional 30 minutes of service time is provided beyond 99491.","N/A",321.62,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Registered Nurse",99491,643.23,30,"N/A","N/A","N/A","Care Coordination","Chronic care management services, first 30 minutes provided personally by a physician or other qualified health care professional, per calendar month. At least 30 minutes of service must be provided before 1 unit of this code can be reported.","N/A",321.62,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Registered Nurse","G0396",643.23,23,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 15-30 Minutes","N/A",246.57,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Registered Nurse","G0397",643.23,60,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 31-1440 Minutes","N/A",643.23,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Registered Nurse","G0539",643.23,23,"N/A","N/A","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",246.57,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Registered Nurse","G0540",643.23,15,"N/A","N/A","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",160.81,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Registered Nurse","G0541",643.23,23,"N/A","N/A","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",246.57,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Registered Nurse","G0542",643.23,15,"N/A","N/A","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",160.81,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Registered Nurse","G0543",643.23,45,"N/A","N/A","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",107.21,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Registered Nurse","G2011",643.23,10,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 5-14 Minutes","N/A",107.21,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Registered Nurse","H0001",643.23,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug assessment, 15 minutes","N/A",160.81,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Registered Nurse","H0003",643.23,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening. Laboratory analysis of specimens for presence of alcohol and/or drugs, 15 minutes","N/A",160.81,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Registered Nurse","H0004",643.23,15,"N/A","N/A","N/A","Individual Counseling","Behavioral health counseling and therapy, 15 minutes","N/A",160.81,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Registered Nurse","H0005",643.23,15,"N/A","N/A","N/A","Group Counseling","Alcohol and/or drug services; group counseling by a clinician, 15 minutes ","N/A",35.74,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Registered Nurse","H0007",643.23,15,"N/A","N/A","N/A","Crisis Intervention","Alcohol and/or drug services; crisis intervention (outpatient), 15 minutes","N/A",160.81,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Registered Nurse","H0008",643.23,15,"N/A","N/A","N/A","Recovery","Alcohol and/or drug services: (hospital inpatient) Subacute detoxification, 15 minutes","N/A",160.81,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Registered Nurse","H0009",643.23,15,"N/A","N/A","N/A","Recovery","Alcohol and/or drug services:  (hospital inpatient) Acute detoxification, 15 minutes","N/A",160.81,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Registered Nurse","H0033",643.23,15,"N/A","N/A","N/A","Medication Services","Medication administration, direct observation, 15 minutes","N/A",160.81,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Registered Nurse","H0034",643.23,15,"N/A","HQ","N/A","Medication Services","Medication training and support, 15 minutes","N/A",35.74,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Registered Nurse","H0034",643.23,15,"N/A","N/A","N/A","Medication Services","Medication training and support, 15 minutes","N/A",160.81,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Registered Nurse","H0048",643.23,15,"N/A","N/A","N/A","Assessment","Alcohol and/or other drug testing. Collection and handling only, specimens other than blood, 15 minutes","N/A",160.81,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Registered Nurse","H0049",643.23,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening, 15 minutes","N/A",160.81,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Registered Nurse","H0050",643.23,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or Drug Services, brief intervention, 15 minutes","N/A",160.81,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Registered Nurse","H1000",643.23,15,"N/A","N/A","N/A","Assessment","Prenatal Care, at risk assessment, 15 minutes ","N/A",160.81,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Registered Nurse","H2014",643.23,15,"N/A","HQ","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",35.74,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Registered Nurse","H2014",643.23,15,"N/A","N/A","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",160.81,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Registered Nurse","H2015",643.23,15,"N/A","N/A","N/A","Recovery","Comprehensive community support services, 15 minutes","N/A",160.81,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Registered Nurse","H2021",643.23,15,"N/A","N/A","N/A","Treatment Planning","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",160.81,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Registered Nurse","T1006",643.23,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or substance abuse services, family/couple counseling, 15 minutes","N/A",160.81,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Registered Nurse","T1007",643.23,15,"N/A","N/A","N/A","Treatment Planning","Alcohol and/or substance abuse services, treatment plan development and/or modification, 15 minutes","N/A",160.81,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Registered Nurse","T1013",643.23,"N/A","N/A","N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Registered Nurse","T1017",643.23,15,"N/A","N/A","N/A","Care Coordination","Targeted case management, 15 minutes","N/A",160.81,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Registered Nurse","T2024",643.23,15,"N/A","N/A","N/A","Assessment","Assessment substitute, 15 minutes","N/A",160.81,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Registered Pharmacist",90785,758.03,"N/A","N/A","N/A","N/A","Supplemental","Interactive complexity. There is no assigned time for this code. ","N/A",18.89,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Registered Pharmacist",90887,758.03,50,"N/A","N/A","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",631.69000000000005,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Registered Pharmacist",96202,758.03,60,"N/A","N/A","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",168.45,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Registered Pharmacist",96203,758.03,15,"N/A","N/A","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",42.11,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Registered Pharmacist",97550,758.03,23,"N/A","N/A","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",290.58,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Registered Pharmacist",97551,758.03,15,"N/A","N/A","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",189.51,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Registered Pharmacist",97552,758.03,45,"N/A","N/A","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",126.34,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Registered Pharmacist",99368,758.03,60,"N/A","N/A","N/A","Care Coordination","Medical team conference with interdisciplinary team of health care professionals, patient and/or family not present, 30-1440 minutes; participation by nonphysician qualified health care professional","N/A",758.03,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Registered Pharmacist","G0396",758.03,23,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 15-30 Minutes","N/A",290.58,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Registered Pharmacist","G0397",758.03,60,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 31-1440 Minutes","N/A",758.03,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Registered Pharmacist","G0539",758.03,23,"N/A","N/A","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",290.58,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Registered Pharmacist","G0540",758.03,15,"N/A","N/A","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",189.51,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Registered Pharmacist","G0541",758.03,23,"N/A","N/A","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",290.58,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Registered Pharmacist","G0542",758.03,15,"N/A","N/A","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",189.51,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Registered Pharmacist","G0543",758.03,45,"N/A","N/A","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",126.34,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Registered Pharmacist","G2011",758.03,10,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 5-14 Minutes","N/A",126.34,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Registered Pharmacist","H0001",758.03,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug assessment, 15 minutes","N/A",189.51,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Registered Pharmacist","H0003",758.03,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening. Laboratory analysis of specimens for presence of alcohol and/or drugs, 15 minutes","N/A",189.51,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Registered Pharmacist","H0008",758.03,15,"N/A","N/A","N/A","Recovery","Alcohol and/or drug services: (hospital inpatient) Subacute detoxification, 15 minutes","N/A",189.51,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Registered Pharmacist","H0009",758.03,15,"N/A","N/A","N/A","Recovery","Alcohol and/or drug services:  (hospital inpatient) Acute detoxification, 15 minutes","N/A",189.51,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Registered Pharmacist","H0033",758.03,15,"N/A","N/A","N/A","Medication Services","Medication administration, direct observation, 15 minutes","N/A",189.51,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Registered Pharmacist","H0034",758.03,15,"N/A","HQ","N/A","Medication Services","Medication training and support, 15 minutes","N/A",42.11,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Registered Pharmacist","H0034",758.03,15,"N/A","N/A","N/A","Medication Services","Medication training and support, 15 minutes","N/A",189.51,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Registered Pharmacist","H0048",758.03,15,"N/A","N/A","N/A","Assessment","Alcohol and/or other drug testing. Collection and handling only, specimens other than blood, 15 minutes","N/A",189.51,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Registered Pharmacist","H0049",758.03,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening, 15 minutes","N/A",189.51,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Registered Pharmacist","H0050",758.03,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or Drug Services, brief intervention, 15 minutes","N/A",189.51,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Registered Pharmacist","H1000",758.03,15,"N/A","N/A","N/A","Assessment","Prenatal Care, at risk assessment, 15 minutes ","N/A",189.51,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Registered Pharmacist","H2017",758.03,15,"N/A","HQ","N/A","Recovery","Psychosocial rehabilitation services, 15 Minutes","N/A",42.11,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Registered Pharmacist","H2017",758.03,15,"N/A","N/A","N/A","Recovery","Psychosocial rehabilitation services, 15 Minutes","N/A",189.51,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Registered Pharmacist","H2021",758.03,15,"N/A","N/A","N/A","Treatment Planning","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",189.51,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Registered Pharmacist","H2035",758.03,60,"N/A","N/A","N/A","Recovery","Alcohol and/or other drug treatment program, per hour ","N/A",758.03,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Registered Pharmacist","T1013",758.03,"N/A","N/A","N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"N/A","2025-07-01","2026-06-30"]
[7,"Contra Costa","Registered Pharmacist","T1017",758.03,15,"N/A","N/A","N/A","Care Coordination","Targeted case management, 15 minutes","N/A",189.51,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Certified AOD Counselor",90785,320.22000000000003,"N/A","N/A","N/A","N/A","Supplemental","Interactive complexity. There is no assigned time for this code. ","N/A",18.89,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Certified AOD Counselor",90882,320.22000000000003,15,"N/A","N/A","N/A","Care Coordination","Environmental intervention for medical management purposes on a psychiatric patient's behalf with agencies, employers, or institutions, 15 minutes","N/A",80.06,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Certified AOD Counselor","G0396",320.22000000000003,23,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 15-30 Minutes","N/A",122.75,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Certified AOD Counselor","G0397",320.22000000000003,60,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 31-1440 Minutes","N/A",320.22000000000003,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Certified AOD Counselor","G2011",320.22000000000003,10,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 5-14 Minutes","N/A",53.37,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Certified AOD Counselor","H0001",320.22000000000003,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug assessment, 15 minutes","N/A",80.06,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Certified AOD Counselor","H0004",320.22000000000003,15,"N/A","N/A","N/A","Individual Counseling","Behavioral health counseling and therapy, 15 minutes","N/A",80.06,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Certified AOD Counselor","H0005",320.22000000000003,15,"N/A","N/A","N/A","Group Counseling","Alcohol and/or drug services; group counseling by a clinician, 15 minutes ","N/A",17.79,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Certified AOD Counselor","H0007",320.22000000000003,15,"N/A","N/A","N/A","Crisis Intervention","Alcohol and/or drug services; crisis intervention (outpatient), 15 minutes","N/A",80.06,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Certified AOD Counselor","H0049",320.22000000000003,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening, 15 minutes","N/A",80.06,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Certified AOD Counselor","H0050",320.22000000000003,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or Drug Services, brief intervention, 15 minutes","N/A",80.06,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Certified AOD Counselor","H1000",320.22000000000003,15,"N/A","N/A","N/A","Assessment","Prenatal Care, at risk assessment, 15 minutes ","N/A",80.06,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Certified AOD Counselor","H2014",320.22000000000003,15,"N/A","HQ","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",17.79,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Certified AOD Counselor","H2014",320.22000000000003,15,"N/A","N/A","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",80.06,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Certified AOD Counselor","H2015",320.22000000000003,15,"N/A","N/A","N/A","Recovery","Comprehensive community support services, 15 minutes","N/A",80.06,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Certified AOD Counselor","H2017",320.22000000000003,15,"N/A","HQ","N/A","Recovery","Psychosocial rehabilitation services, 15 Minutes","N/A",17.79,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Certified AOD Counselor","H2017",320.22000000000003,15,"N/A","N/A","N/A","Recovery","Psychosocial rehabilitation services, 15 Minutes","N/A",80.06,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Certified AOD Counselor","H2021",320.22000000000003,15,"N/A","N/A","N/A","Treatment Planning","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",80.06,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Certified AOD Counselor","H2027",320.22000000000003,15,"N/A","N/A","N/A","Treatment Planning","Psychoeducational Service, 15 minutes","N/A",80.06,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Certified AOD Counselor","H2035",320.22000000000003,60,"N/A","N/A","N/A","Recovery","Alcohol and/or other drug treatment program, per hour ","N/A",320.22000000000003,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Certified AOD Counselor","T1006",320.22000000000003,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or substance abuse services, family/couple counseling, 15 minutes","N/A",80.06,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Certified AOD Counselor","T1007",320.22000000000003,15,"N/A","N/A","N/A","Treatment Planning","Alcohol and/or substance abuse services, treatment plan development and/or modification, 15 minutes","N/A",80.06,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Certified AOD Counselor","T1013",320.22000000000003,"N/A","N/A","N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Certified AOD Counselor","T1017",320.22000000000003,15,"N/A","N/A","N/A","Care Coordination","Targeted case management, 15 minutes","N/A",80.06,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Certified AOD Counselor","T2024",320.22000000000003,15,"N/A","N/A","N/A","Assessment","Assessment substitute, 15 minutes","N/A",80.06,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Community Health Worker",98960,297.70999999999998,30,"N/A","N/A","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",148.86000000000001,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Community Health Worker",98961,297.70999999999998,30,"N/A","N/A","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",49.62,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Community Health Worker",98962,297.70999999999998,30,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Community Health Worker","G0019",297.70999999999998,60,"N/A","N/A","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",297.70999999999998,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Community Health Worker","G0022",297.70999999999998,30,"N/A","N/A","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",148.86000000000001,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","LCSW (Licensed, Waivered or Registered)",90785,386.05,"N/A","N/A","N/A","N/A","Supplemental","Interactive complexity. There is no assigned time for this code. ","N/A",18.89,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","LCSW (Licensed, Waivered or Registered)",90791,386.05,60,"N/A","N/A","N/A","Assessment","Psychiatric diagnostic evaluation, 60 minutes","N/A",386.05,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","LCSW (Licensed, Waivered or Registered)",90846,386.05,50,"N/A","N/A","N/A","Family Therapy","Family Psychotherapy (Without the Patient Present), 50 minutes","N/A",321.70999999999998,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","LCSW (Licensed, Waivered or Registered)",90847,386.05,50,"N/A","N/A","N/A","Family Therapy","Family Psychotherapy (Conjoint psychotheraphy with Patient Present), 50 minutes","N/A",321.70999999999998,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","LCSW (Licensed, Waivered or Registered)",90849,386.05,84,"N/A","N/A","N/A","Family Therapy","Multiple-family group psychotherapy, 84 minutes","N/A",120.1,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","LCSW (Licensed, Waivered or Registered)",90882,386.05,15,"N/A","N/A","N/A","Care Coordination","Environmental intervention for medical management purposes on a psychiatric patient's behalf with agencies, employers, or institutions, 15 minutes","N/A",96.51,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","LCSW (Licensed, Waivered or Registered)",90885,386.05,60,"N/A","N/A","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",386.05,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","LCSW (Licensed, Waivered or Registered)",90887,386.05,50,"N/A","N/A","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",321.70999999999998,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","LCSW (Licensed, Waivered or Registered)",90889,386.05,15,"N/A","N/A","N/A","Care Coordination","Preparation of report of patient's psychiatric status, history, treatment, or progress (other than for legal or consultative purposes) for other individuals, agencies, or insurance carriers, 15 minutes","N/A",96.51,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","LCSW (Licensed, Waivered or Registered)",96160,386.05,15,"N/A","N/A","N/A","Care Coordination","Administration of patient-focused health risk assessment instrument (eg, health hazard appraisal) with scoring and documentation, per standardized instrument, 15 minutes","N/A",96.51,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","LCSW (Licensed, Waivered or Registered)",96170,386.05,30,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; initial 30 minutes","N/A",193.03,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","LCSW (Licensed, Waivered or Registered)",96171,386.05,15,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; each additional 15 minutes","N/A",96.51,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","LCSW (Licensed, Waivered or Registered)",96202,386.05,60,"N/A","N/A","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",85.79,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","LCSW (Licensed, Waivered or Registered)",96203,386.05,15,"N/A","N/A","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",21.45,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","LCSW (Licensed, Waivered or Registered)",97550,386.05,23,"N/A","N/A","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",147.99,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","LCSW (Licensed, Waivered or Registered)",97551,386.05,15,"N/A","N/A","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",96.51,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","LCSW (Licensed, Waivered or Registered)",97552,386.05,45,"N/A","N/A","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",64.34,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","LCSW (Licensed, Waivered or Registered)",98966,386.05,8,"N/A","N/A","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",51.47,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","LCSW (Licensed, Waivered or Registered)",98967,386.05,16,"N/A","N/A","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",102.95,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","LCSW (Licensed, Waivered or Registered)",98968,386.05,26,"N/A","N/A","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",167.29,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","LCSW (Licensed, Waivered or Registered)",99368,386.05,60,"N/A","N/A","N/A","Care Coordination","Medical team conference with interdisciplinary team of health care professionals, patient and/or family not present, 30-1440 minutes; participation by nonphysician qualified health care professional","N/A",386.05,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","LCSW (Licensed, Waivered or Registered)","G0323",386.05,60,"N/A","N/A","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",386.05,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","LCSW (Licensed, Waivered or Registered)","G0396",386.05,23,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 15-30 Minutes","N/A",147.99,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","LCSW (Licensed, Waivered or Registered)","G0397",386.05,60,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 31-1440 Minutes","N/A",386.05,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","LCSW (Licensed, Waivered or Registered)","G0539",386.05,23,"N/A","N/A","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",147.99,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","LCSW (Licensed, Waivered or Registered)","G0540",386.05,15,"N/A","N/A","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",96.51,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","LCSW (Licensed, Waivered or Registered)","G0541",386.05,23,"N/A","N/A","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",147.99,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","LCSW (Licensed, Waivered or Registered)","G0542",386.05,15,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","LCSW (Licensed, Waivered or Registered)","G0543",386.05,45,"N/A","N/A","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",64.34,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","LCSW (Licensed, Waivered or Registered)","G2011",386.05,10,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 5-14 Minutes","N/A",64.34,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","LCSW (Licensed, Waivered or Registered)","H0001",386.05,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug assessment, 15 minutes","N/A",96.51,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","LCSW (Licensed, Waivered or Registered)","H0004",386.05,15,"N/A","N/A","N/A","Individual Counseling","Behavioral health counseling and therapy, 15 minutes","N/A",96.51,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","LCSW (Licensed, Waivered or Registered)","H0005",386.05,15,"N/A","N/A","N/A","Group Counseling","Alcohol and/or drug services; group counseling by a clinician, 15 minutes ","N/A",21.45,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","LCSW (Licensed, Waivered or Registered)","H0007",386.05,15,"N/A","N/A","N/A","Crisis Intervention","Alcohol and/or drug services; crisis intervention (outpatient), 15 minutes","N/A",96.51,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","LCSW (Licensed, Waivered or Registered)","H0049",386.05,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening, 15 minutes","N/A",96.51,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","LCSW (Licensed, Waivered or Registered)","H0050",386.05,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or Drug Services, brief intervention, 15 minutes","N/A",96.51,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","LCSW (Licensed, Waivered or Registered)","H1000",386.05,15,"N/A","N/A","N/A","Assessment","Prenatal Care, at risk assessment, 15 minutes ","N/A",96.51,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","LCSW (Licensed, Waivered or Registered)","H2014",386.05,15,"N/A","HQ","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",21.45,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","LCSW (Licensed, Waivered or Registered)","H2014",386.05,15,"N/A","N/A","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",96.51,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","LCSW (Licensed, Waivered or Registered)","H2015",386.05,15,"N/A","N/A","N/A","Recovery","Comprehensive community support services, 15 minutes","N/A",96.51,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","LCSW (Licensed, Waivered or Registered)","H2017",386.05,15,"N/A","HQ","N/A","Recovery","Psychosocial rehabilitation services, 15 Minutes","N/A",21.45,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","LCSW (Licensed, Waivered or Registered)","H2017",386.05,15,"N/A","N/A","N/A","Recovery","Psychosocial rehabilitation services, 15 Minutes","N/A",96.51,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","LCSW (Licensed, Waivered or Registered)","H2021",386.05,15,"N/A","N/A","N/A","Treatment Planning","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",96.51,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","LCSW (Licensed, Waivered or Registered)","H2027",386.05,15,"N/A","N/A","N/A","Treatment Planning","Psychoeducational Service, 15 minutes","N/A",96.51,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","LCSW (Licensed, Waivered or Registered)","H2035",386.05,60,"N/A","N/A","N/A","Recovery","Alcohol and/or other drug treatment program, per hour ","N/A",386.05,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","LCSW (Licensed, Waivered or Registered)","T1006",386.05,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or substance abuse services, family/couple counseling, 15 minutes","N/A",96.51,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","LCSW (Licensed, Waivered or Registered)","T1007",386.05,15,"N/A","N/A","N/A","Treatment Planning","Alcohol and/or substance abuse services, treatment plan development and/or modification, 15 minutes","N/A",96.51,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","LCSW (Licensed, Waivered or Registered)","T1013",386.05,"N/A","N/A","N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","LCSW (Licensed, Waivered or Registered)","T1017",386.05,15,"N/A","N/A","N/A","Care Coordination","Targeted case management, 15 minutes","N/A",96.51,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","LCSW (Licensed, Waivered or Registered)","T2021",386.05,15,"N/A","HQ","N/A","Family Therapy","Therapy substitute, 15 minutes","N/A",21.45,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","LCSW (Licensed, Waivered or Registered)","T2021",386.05,15,"N/A","N/A","N/A","Family Therapy","Therapy substitute, 15 minutes","N/A",96.51,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","LCSW (Licensed, Waivered or Registered)","T2021",386.05,15,"N/A",22,"N/A","Family Therapy","Therapy substitute, 15 minutes","N/A",99.52,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","LCSW (Licensed, Waivered or Registered)","T2024",386.05,15,"N/A","N/A","N/A","Assessment","Assessment substitute, 15 minutes","N/A",96.51,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Physician",90785,1483.35,"N/A","N/A","N/A","N/A","Supplemental","Interactive complexity. There is no assigned time for this code. ","N/A",18.89,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Physician",90791,1483.35,60,"N/A","N/A","N/A","Assessment","Psychiatric diagnostic evaluation, 60 minutes","N/A",1483.35,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Physician",90792,1483.35,60,"N/A","N/A","N/A","Assessment","Psychiatric diagnostic evaluation with medical services, 60 minutes","N/A",1483.35,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Physician",90846,1483.35,50,"N/A","N/A","N/A","Family Therapy","Family Psychotherapy (Without the Patient Present), 50 minutes","N/A",1236.1300000000001,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Physician",90847,1483.35,50,"N/A","N/A","N/A","Family Therapy","Family Psychotherapy (Conjoint psychotheraphy with Patient Present), 50 minutes","N/A",1236.1300000000001,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Physician",90849,1483.35,84,"N/A","N/A","N/A","Family Therapy","Multiple-family group psychotherapy, 84 minutes","N/A",461.49,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Physician",90865,1483.35,90,"N/A","N/A","N/A","Assessment","Nacrosynthesis for psychiatric diagnostic and therapeutic purposes (eg, sodium amobarbital (Amytal) interview), 90 minutes","N/A",2225.0300000000002,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Physician",90882,1483.35,15,"N/A","N/A","N/A","Care Coordination","Environmental intervention for medical management purposes on a psychiatric patient's behalf with agencies, employers, or institutions, 15 minutes","N/A",370.84,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Physician",90885,1483.35,60,"N/A","N/A","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",1483.35,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Physician",90887,1483.35,50,"N/A","N/A","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",1236.1300000000001,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Physician",90889,1483.35,15,"N/A","N/A","N/A","Care Coordination","Preparation of report of patient's psychiatric status, history, treatment, or progress (other than for legal or consultative purposes) for other individuals, agencies, or insurance carriers, 15 minutes","N/A",370.84,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Physician",96130,1483.35,60,"N/A","N/A","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",1483.35,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Physician",96131,1483.35,60,"N/A","N/A","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",1483.35,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Physician",96160,1483.35,15,"N/A","N/A","N/A","Care Coordination","Administration of patient-focused health risk assessment instrument (eg, health hazard appraisal) with scoring and documentation, per standardized instrument, 15 minutes","N/A",370.84,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Physician",96170,1483.35,30,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; initial 30 minutes","N/A",741.68,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Physician",96171,1483.35,15,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; each additional 15 minutes","N/A",370.84,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Physician",96202,1483.35,60,"N/A","N/A","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",329.63,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Physician",96203,1483.35,15,"N/A","N/A","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",82.41,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Physician",97550,1483.35,23,"N/A","N/A","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",568.62,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Physician",97551,1483.35,15,"N/A","N/A","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",370.84,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Physician",97552,1483.35,45,"N/A","N/A","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",247.23,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Physician",99202,1483.35,22,"N/A","N/A","N/A","Assessment","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. 15-29 minutes total time on the date of the encounter.","N/A",543.9,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Physician",99203,1483.35,37,"N/A","N/A","N/A","Assessment","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. 30-44 minutes total time on the date of the encounter.","N/A",914.73,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Physician",99204,1483.35,52,"N/A","N/A","N/A","Assessment","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. 45-59 minutes total time on the date of the encounter.","N/A",1285.57,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Physician",99205,1483.35,67,"N/A","N/A","N/A","Assessment","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. 60-74 minutes total time on the date of the encounter.","N/A",1656.41,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Physician",99212,1483.35,15,"N/A","N/A","N/A","Assessment","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. 10-19 minutes total time on the date of the encounter.","N/A",370.84,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Physician",99213,1483.35,25,"N/A","N/A","N/A","Assessment","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. 20-29 minutes total time on the date of the encounter.","N/A",618.05999999999995,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Physician",99214,1483.35,35,"N/A","N/A","N/A","Assessment","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. 30-39 minutes total time on the date of the encounter.","N/A",865.29,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Physician",99215,1483.35,47,"N/A","N/A","N/A","Assessment","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. 40-54 minutes total time on the date of the encounter.","N/A",1161.96,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Physician",99234,1483.35,57,"N/A","N/A","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. 45-69 minutes total time on the date of the encounter.","N/A",1409.18,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Physician",99235,1483.35,77,"N/A","N/A","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. 70-84 minutes total time on the date of the encounter.","N/A",1903.63,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Physician",99236,1483.35,92,"N/A","N/A","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. 85-99 minutes total time on the date of the encounter.","N/A",2274.4699999999998,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Physician",99238,1483.35,30,"N/A","N/A","N/A","Discharge","Hospital inpatient or observation discharge day management; 30 minutes or less on the date of the encounter","N/A",741.68,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Physician",99239,1483.35,60,"N/A","N/A","N/A","Discharge","Hospital inpatient or observation discharge day management; 30-1440 minutes on the date of the encounter","N/A",1483.35,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Physician",99304,1483.35,30,"N/A","N/A","N/A","Assessment","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. 25-34 minutes total time on the date of the encounter.","N/A",741.68,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Physician",99305,1483.35,42,"N/A","N/A","N/A","Assessment","\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. 35-49 minutes total time on the date of the encounter.","N/A",1038.3499999999999,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Physician",99306,1483.35,57,"N/A","N/A","N/A","Assessment","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. 50-64 minutes total time on the date of the encounter.","N/A",1409.18,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Physician",99307,1483.35,15,"N/A","N/A","N/A","Assessment","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. 10-19 minutes total time on the date of the encounter for code selection.","N/A",370.84,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Physician",99308,1483.35,25,"N/A","N/A","N/A","Assessment","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. 20-29 minutes total time on the date of the encounter.","N/A",618.05999999999995,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Physician",99309,1483.35,37,"N/A","N/A","N/A","Assessment","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. 30-44 minutes total time on the date of the encounter.\t","N/A",914.73,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Physician",99310,1483.35,52,"N/A","N/A","N/A","Assessment","\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. 45-59 minutes total time on the date of the encounter.","N/A",1285.57,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Physician",99341,1483.35,22,"N/A","N/A","N/A","Assessment","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. 15-29 minutes total time on the date of the encounter.","N/A",543.9,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Physician",99342,1483.35,45,"N/A","N/A","N/A","Assessment","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. 30-59 minutes total time on the date of the encounter.","N/A",1112.51,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Physician",99344,1483.35,67,"N/A","N/A","N/A","Assessment","\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. 60-74 minutes total time on the date of the encounter.","N/A",1656.41,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Physician",99345,1483.35,82,"N/A","N/A","N/A","Assessment","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. 75-89 minutes total time on the date of the encounter.","N/A",2027.25,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Physician",99347,1483.35,25,"N/A","N/A","N/A","Assessment","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. 20-29 minutes total time on the date of the encounter.","N/A",618.05999999999995,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Physician",99348,1483.35,35,"N/A","N/A","N/A","Assessment","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. 30-39 minutes total time on the date of the encounter.","N/A",865.29,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Physician",99349,1483.35,50,"N/A","N/A","N/A","Assessment","\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. 40-59 minutes total time on the date of the encounter.","N/A",1236.1300000000001,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Physician",99350,1483.35,67,"N/A","N/A","N/A","Assessment","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. 60-74 minutes total time on the date of the encounter.","N/A",1656.41,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Physician",99367,1483.35,60,"N/A","N/A","N/A","Care Coordination","Medical team conference with interdisciplinary team of health care professionals, patient and/or family not present, 30-1440 minutes; participation by physician","N/A",1483.35,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Physician",99408,1483.35,23,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or substance (other than tobacco) abuse structural screening (eg, AUDIT ,DAST), and brief intervention (SBI) services. 15-30 minutes. ","N/A",568.62,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Physician",99409,1483.35,60,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or substance (other than tobacco) abuse structural screening (eg, AUDIT ,DAST), and brief intervention (SBI) services. 31-1440 minutes. ","N/A",1483.35,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Physician",99415,1483.35,60,"N/A","N/A","N/A","Assessment","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",1483.35,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Physician",99416,1483.35,30,"N/A","N/A","N/A","Assessment","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",741.68,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Physician",99417,1483.35,15,"N/A","N/A","N/A","Assessment","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 (This code does not follow the midpoint rule. A  full 15 minutes must be met before one unit of 99417 can be claimed).","N/A",370.84,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Physician",99418,1483.35,15,"N/A","N/A","N/A","Assessment","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 (This code does not follow the midpoint rule. A full 15 minutes must be met before one unit of 99418 can be claimed).","N/A",370.84,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Physician",99424,1483.35,30,"N/A","N/A","N/A","Care Coordination","Principal care management services, for a single high-risk disease, first 30 minutes provided personally by a physician or other qualified health care professional, per calendar month. At least 30 minutes of service must be provided before 1 unit of this code can be reported.","N/A",741.68,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Physician",99425,1483.35,30,"N/A","N/A","N/A","Care Coordination","Principal care management services, for a single high-risk disease, each additional 30 minutes provided personally by a physician or other qualified health care professional, per calendar month. Code 99425 is reported in conjunction with 99424, when at least an additional 30 minutes of service time is provided beyond 99424.","N/A",741.68,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Physician",99437,1483.35,30,"N/A","N/A","N/A","Care Coordination","Chronic care management services, each additional 30 minutes by a physician or other qualified health care professional, per calendar month. Code 99437 is reported in conjunction with 99491, when at least an additional 30 minutes of service time is provided beyond 99491.","N/A",741.68,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Physician",99441,1483.35,8,"N/A","N/A","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",197.78,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Physician",99442,1483.35,16,"N/A","N/A","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",395.56,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Physician",99443,1483.35,26,"N/A","N/A","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",642.79,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Physician",99451,1483.35,18,"N/A","N/A","N/A","Care Coordination","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",445.01,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Physician",99491,1483.35,30,"N/A","N/A","N/A","Care Coordination","Chronic care management services, first 30 minutes provided personally by a physician or other qualified health care professional, per calendar month. At least 30 minutes of service must be provided before 1 unit of this code can be reported.","N/A",741.68,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Physician",99495,1483.35,54,"N/A","N/A","N/A","Discharge","Transitional Care Management Services with the following required elements: Communication (direct contact, telephone, electronic) with the patient and/or caregiver within 2 business days of discharge. Medical decision making of at least moderate complexity during the service period, face-to-face visit within 14 calendar days of discharge, 54 minutes","N/A",1335.02,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Physician",99496,1483.35,75,"N/A","N/A","N/A","Discharge","Transitional Care Management Services with the following required elements: Communication (direct contact, telephone, electronic) with the patient and/or caregiver within 2 business days of discharge. Medical decision making of high complexity during the service period, face-to-face visit within 7 calendar days of discharge, 75 minutes","N/A",1854.19,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Physician","G0316",1483.35,15,"N/A","N/A","N/A","Assessment","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",370.84,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Physician","G0396",1483.35,23,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 15-30 Minutes","N/A",568.62,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Physician","G0397",1483.35,60,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 31-1440 Minutes","N/A",1483.35,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Physician","G0539",1483.35,23,"N/A","N/A","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",568.62,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Physician","G0540",1483.35,15,"N/A","N/A","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",370.84,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Physician","G0541",1483.35,23,"N/A","N/A","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",568.62,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Physician","G0542",1483.35,15,"N/A","N/A","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",370.84,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Physician","G0543",1483.35,45,"N/A","N/A","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",247.23,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Physician","G2011",1483.35,10,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 5-14 Minutes","N/A",247.23,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Physician","H0001",1483.35,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug assessment, 15 minutes","N/A",370.84,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Physician","H0003",1483.35,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening. Laboratory analysis of specimens for presence of alcohol and/or drugs, 15 minutes","N/A",370.84,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Physician","H0004",1483.35,15,"N/A","N/A","N/A","Individual Counseling","Behavioral health counseling and therapy, 15 minutes","N/A",370.84,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Physician","H0005",1483.35,15,"N/A","N/A","N/A","Group Counseling","Alcohol and/or drug services; group counseling by a clinician, 15 minutes ","N/A",82.41,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Physician","H0007",1483.35,15,"N/A","N/A","N/A","Crisis Intervention","Alcohol and/or drug services; crisis intervention (outpatient), 15 minutes","N/A",370.84,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Physician","H0008",1483.35,15,"N/A","N/A","N/A","Recovery","Alcohol and/or drug services: (hospital inpatient) Subacute detoxification, 15 minutes","N/A",370.84,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Physician","H0009",1483.35,15,"N/A","N/A","N/A","Recovery","Alcohol and/or drug services:  (hospital inpatient) Acute detoxification, 15 minutes","N/A",370.84,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Physician","H0033",1483.35,15,"N/A","N/A","N/A","Medication Services","Medication administration, direct observation, 15 minutes","N/A",370.84,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Physician","H0034",1483.35,15,"N/A","HQ","N/A","Medication Services","Medication training and support, 15 minutes","N/A",82.41,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Physician","H0034",1483.35,15,"N/A","N/A","N/A","Medication Services","Medication training and support, 15 minutes","N/A",370.84,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Physician","H0048",1483.35,15,"N/A","N/A","N/A","Assessment","Alcohol and/or other drug testing. Collection and handling only, specimens other than blood, 15 minutes","N/A",370.84,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Physician","H0049",1483.35,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening, 15 minutes","N/A",370.84,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Physician","H0050",1483.35,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or Drug Services, brief intervention, 15 minutes","N/A",370.84,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Physician","H1000",1483.35,15,"N/A","N/A","N/A","Assessment","Prenatal Care, at risk assessment, 15 minutes ","N/A",370.84,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Physician","H2014",1483.35,15,"N/A","HQ","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",82.41,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Physician","H2014",1483.35,15,"N/A","N/A","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",370.84,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Physician","H2015",1483.35,15,"N/A","N/A","N/A","Recovery","Comprehensive community support services, 15 minutes","N/A",370.84,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Physician","H2017",1483.35,15,"N/A","HQ","N/A","Recovery","Psychosocial rehabilitation services, 15 Minutes","N/A",82.41,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Physician","H2017",1483.35,15,"N/A","N/A","N/A","Recovery","Psychosocial rehabilitation services, 15 Minutes","N/A",370.84,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Physician","H2021",1483.35,15,"N/A","N/A","N/A","Treatment Planning","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",370.84,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Physician","H2027",1483.35,15,"N/A","N/A","N/A","Treatment Planning","Psychoeducational Service, 15 minutes","N/A",370.84,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Physician","H2035",1483.35,60,"N/A","N/A","N/A","Recovery","Alcohol and/or other drug treatment program, per hour ","N/A",1483.35,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Physician","T1006",1483.35,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or substance abuse services, family/couple counseling, 15 minutes","N/A",370.84,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Physician","T1007",1483.35,15,"N/A","N/A","N/A","Treatment Planning","Alcohol and/or substance abuse services, treatment plan development and/or modification, 15 minutes","N/A",370.84,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Physician","T1013",1483.35,"N/A","N/A","N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Physician","T1017",1483.35,15,"N/A","N/A","N/A","Care Coordination","Targeted case management, 15 minutes","N/A",370.84,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Physician","T2021",1483.35,15,"N/A","HQ","N/A","Family Therapy","Therapy substitute, 15 minutes","N/A",82.41,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Physician","T2021",1483.35,15,"N/A","N/A","N/A","Family Therapy","Therapy substitute, 15 minutes","N/A",370.84,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Physician","T2021",1483.35,15,"N/A",22,"N/A","Family Therapy","Therapy substitute, 15 minutes","N/A",373.85,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Physician","T2024",1483.35,15,"N/A","N/A","N/A","Assessment","Assessment substitute, 15 minutes","N/A",370.84,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Psychiatric Technician",90785,271.35000000000002,"N/A","N/A","N/A","N/A","Supplemental","Interactive complexity. There is no assigned time for this code. ","N/A",18.89,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Psychiatric Technician",90882,271.35000000000002,15,"N/A","N/A","N/A","Care Coordination","Environmental intervention for medical management purposes on a psychiatric patient's behalf with agencies, employers, or institutions, 15 minutes","N/A",67.84,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Psychiatric Technician",90889,271.35000000000002,15,"N/A","N/A","N/A","Care Coordination","Preparation of report of patient's psychiatric status, history, treatment, or progress (other than for legal or consultative purposes) for other individuals, agencies, or insurance carriers, 15 minutes","N/A",67.84,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Psychiatric Technician",96160,271.35000000000002,15,"N/A","N/A","N/A","Care Coordination","Administration of patient-focused health risk assessment instrument (eg, health hazard appraisal) with scoring and documentation, per standardized instrument, 15 minutes","N/A",67.84,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Psychiatric Technician",96170,271.35000000000002,30,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; initial 30 minutes","N/A",135.68,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Psychiatric Technician",96171,271.35000000000002,15,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; each additional 15 minutes","N/A",67.84,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Psychiatric Technician",96202,271.35000000000002,60,"N/A","N/A","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",60.3,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Psychiatric Technician",96203,271.35000000000002,15,"N/A","N/A","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",15.08,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Psychiatric Technician",97550,271.35000000000002,23,"N/A","N/A","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",104.02,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Psychiatric Technician",97551,271.35000000000002,15,"N/A","N/A","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",67.84,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Psychiatric Technician",97552,271.35000000000002,45,"N/A","N/A","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",45.23,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Psychiatric Technician","G0396",271.35000000000002,23,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 15-30 Minutes","N/A",104.02,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Psychiatric Technician","G0397",271.35000000000002,60,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 31-1440 Minutes","N/A",271.35000000000002,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Psychiatric Technician","G0539",271.35000000000002,23,"N/A","N/A","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",104.02,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Psychiatric Technician","G0540",271.35000000000002,15,"N/A","N/A","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",67.84,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Psychiatric Technician","G0541",271.35000000000002,23,"N/A","N/A","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",104.02,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Psychiatric Technician","G0542",271.35000000000002,15,"N/A","N/A","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",67.84,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Psychiatric Technician","G0543",271.35000000000002,45,"N/A","N/A","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",45.23,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Psychiatric Technician","G2011",271.35000000000002,10,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 5-14 Minutes","N/A",45.23,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Psychiatric Technician","H0001",271.35000000000002,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug assessment, 15 minutes","N/A",67.84,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Psychiatric Technician","H0003",271.35000000000002,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening. Laboratory analysis of specimens for presence of alcohol and/or drugs, 15 minutes","N/A",67.84,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Psychiatric Technician","H0007",271.35000000000002,15,"N/A","N/A","N/A","Crisis Intervention","Alcohol and/or drug services; crisis intervention (outpatient), 15 minutes","N/A",67.84,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Psychiatric Technician","H0008",271.35000000000002,15,"N/A","N/A","N/A","Recovery","Alcohol and/or drug services: (hospital inpatient) Subacute detoxification, 15 minutes","N/A",67.84,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Psychiatric Technician","H0009",271.35000000000002,15,"N/A","N/A","N/A","Recovery","Alcohol and/or drug services:  (hospital inpatient) Acute detoxification, 15 minutes","N/A",67.84,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Psychiatric Technician","H0033",271.35000000000002,15,"N/A","N/A","N/A","Medication Services","Medication administration, direct observation, 15 minutes","N/A",67.84,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Psychiatric Technician","H0034",271.35000000000002,15,"N/A","HQ","N/A","Medication Services","Medication training and support, 15 minutes","N/A",15.08,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Psychiatric Technician","H0034",271.35000000000002,15,"N/A","N/A","N/A","Medication Services","Medication training and support, 15 minutes","N/A",67.84,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Psychiatric Technician","H0048",271.35000000000002,15,"N/A","N/A","N/A","Assessment","Alcohol and/or other drug testing. Collection and handling only, specimens other than blood, 15 minutes","N/A",67.84,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Psychiatric Technician","H0049",271.35000000000002,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening, 15 minutes","N/A",67.84,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Psychiatric Technician","H0050",271.35000000000002,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or Drug Services, brief intervention, 15 minutes","N/A",67.84,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Psychiatric Technician","H1000",271.35000000000002,15,"N/A","N/A","N/A","Assessment","Prenatal Care, at risk assessment, 15 minutes ","N/A",67.84,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Psychiatric Technician","H2014",271.35000000000002,15,"N/A","HQ","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",15.08,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Psychiatric Technician","H2014",271.35000000000002,15,"N/A","N/A","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",67.84,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Psychiatric Technician","H2015",271.35000000000002,15,"N/A","N/A","N/A","Recovery","Comprehensive community support services, 15 minutes","N/A",67.84,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Psychiatric Technician","H2017",271.35000000000002,15,"N/A","HQ","N/A","Recovery","Psychosocial rehabilitation services, 15 Minutes","N/A",15.08,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Psychiatric Technician","H2017",271.35000000000002,15,"N/A","N/A","N/A","Recovery","Psychosocial rehabilitation services, 15 Minutes","N/A",67.84,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Psychiatric Technician","H2021",271.35000000000002,15,"N/A","N/A","N/A","Treatment Planning","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",67.84,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Psychiatric Technician","H2027",271.35000000000002,15,"N/A","N/A","N/A","Treatment Planning","Psychoeducational Service, 15 minutes","N/A",67.84,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Psychiatric Technician","H2035",271.35000000000002,60,"N/A","N/A","N/A","Recovery","Alcohol and/or other drug treatment program, per hour ","N/A",271.35000000000002,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Psychiatric Technician","T1007",271.35000000000002,15,"N/A","N/A","N/A","Treatment Planning","Alcohol and/or substance abuse services, treatment plan development and/or modification, 15 minutes","N/A",67.84,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Psychiatric Technician","T1013",271.35000000000002,"N/A","N/A","N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Psychiatric Technician","T1017",271.35000000000002,15,"N/A","N/A","N/A","Care Coordination","Targeted case management, 15 minutes","N/A",67.84,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Vocational Nurse",90785,316.52,"N/A","N/A","N/A","N/A","Supplemental","Interactive complexity. There is no assigned time for this code. ","N/A",18.89,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Vocational Nurse",90882,316.52,15,"N/A","N/A","N/A","Care Coordination","Environmental intervention for medical management purposes on a psychiatric patient's behalf with agencies, employers, or institutions, 15 minutes","N/A",79.13,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Vocational Nurse",90889,316.52,15,"N/A","N/A","N/A","Care Coordination","Preparation of report of patient's psychiatric status, history, treatment, or progress (other than for legal or consultative purposes) for other individuals, agencies, or insurance carriers, 15 minutes","N/A",79.13,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Vocational Nurse",96160,316.52,15,"N/A","N/A","N/A","Care Coordination","Administration of patient-focused health risk assessment instrument (eg, health hazard appraisal) with scoring and documentation, per standardized instrument, 15 minutes","N/A",79.13,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Vocational Nurse",96170,316.52,30,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; initial 30 minutes","N/A",158.26,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Vocational Nurse",96171,316.52,15,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; each additional 15 minutes","N/A",79.13,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Vocational Nurse",96202,316.52,60,"N/A","N/A","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",70.34,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Vocational Nurse",96203,316.52,15,"N/A","N/A","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",17.579999999999998,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Vocational Nurse",97550,316.52,23,"N/A","N/A","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",121.33,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Vocational Nurse",97551,316.52,15,"N/A","N/A","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",79.13,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Vocational Nurse",97552,316.52,45,"N/A","N/A","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",52.75,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Vocational Nurse","G0396",316.52,23,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 15-30 Minutes","N/A",121.33,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Vocational Nurse","G0397",316.52,60,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 31-1440 Minutes","N/A",316.52,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Vocational Nurse","G0539",316.52,23,"N/A","N/A","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",121.33,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Vocational Nurse","G0540",316.52,15,"N/A","N/A","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",79.13,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Vocational Nurse","G0541",316.52,23,"N/A","N/A","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",121.33,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Vocational Nurse","G0542",316.52,15,"N/A","N/A","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",79.13,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Vocational Nurse","G0543",316.52,45,"N/A","N/A","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",52.75,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Vocational Nurse","G2011",316.52,10,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 5-14 Minutes","N/A",52.75,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Vocational Nurse","H0001",316.52,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug assessment, 15 minutes","N/A",79.13,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Vocational Nurse","H0003",316.52,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening. Laboratory analysis of specimens for presence of alcohol and/or drugs, 15 minutes","N/A",79.13,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Vocational Nurse","H0007",316.52,15,"N/A","N/A","N/A","Crisis Intervention","Alcohol and/or drug services; crisis intervention (outpatient), 15 minutes","N/A",79.13,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Vocational Nurse","H0008",316.52,15,"N/A","N/A","N/A","Recovery","Alcohol and/or drug services: (hospital inpatient) Subacute detoxification, 15 minutes","N/A",79.13,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Vocational Nurse","H0009",316.52,15,"N/A","N/A","N/A","Recovery","Alcohol and/or drug services:  (hospital inpatient) Acute detoxification, 15 minutes","N/A",79.13,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Vocational Nurse","H0033",316.52,15,"N/A","N/A","N/A","Medication Services","Medication administration, direct observation, 15 minutes","N/A",79.13,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Vocational Nurse","H0034",316.52,15,"N/A","HQ","N/A","Medication Services","Medication training and support, 15 minutes","N/A",17.579999999999998,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Vocational Nurse","H0034",316.52,15,"N/A","N/A","N/A","Medication Services","Medication training and support, 15 minutes","N/A",79.13,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Vocational Nurse","H0048",316.52,15,"N/A","N/A","N/A","Assessment","Alcohol and/or other drug testing. Collection and handling only, specimens other than blood, 15 minutes","N/A",79.13,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Vocational Nurse","H0049",316.52,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening, 15 minutes","N/A",79.13,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Vocational Nurse","H0050",316.52,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or Drug Services, brief intervention, 15 minutes","N/A",79.13,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Vocational Nurse","H1000",316.52,15,"N/A","N/A","N/A","Assessment","Prenatal Care, at risk assessment, 15 minutes ","N/A",79.13,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Vocational Nurse","H2014",316.52,15,"N/A","HQ","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",17.579999999999998,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Vocational Nurse","H2014",316.52,15,"N/A","N/A","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",79.13,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Vocational Nurse","H2015",316.52,15,"N/A","N/A","N/A","Recovery","Comprehensive community support services, 15 minutes","N/A",79.13,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Vocational Nurse","H2017",316.52,15,"N/A","HQ","N/A","Recovery","Psychosocial rehabilitation services, 15 Minutes","N/A",17.579999999999998,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Vocational Nurse","H2017",316.52,15,"N/A","N/A","N/A","Recovery","Psychosocial rehabilitation services, 15 Minutes","N/A",79.13,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Vocational Nurse","H2021",316.52,15,"N/A","N/A","N/A","Treatment Planning","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",79.13,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Vocational Nurse","H2027",316.52,15,"N/A","N/A","N/A","Treatment Planning","Psychoeducational Service, 15 minutes","N/A",79.13,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Vocational Nurse","H2035",316.52,60,"N/A","N/A","N/A","Recovery","Alcohol and/or other drug treatment program, per hour ","N/A",316.52,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Vocational Nurse","T1007",316.52,15,"N/A","N/A","N/A","Treatment Planning","Alcohol and/or substance abuse services, treatment plan development and/or modification, 15 minutes","N/A",79.13,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Vocational Nurse","T1013",316.52,"N/A","N/A","N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Licensed Vocational Nurse","T1017",316.52,15,"N/A","N/A","N/A","Care Coordination","Targeted case management, 15 minutes","N/A",79.13,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Medical Assistant",90785,217.58,"N/A","N/A","N/A","N/A","Supplemental","Interactive complexity. There is no assigned time for this code. ","N/A",18.32,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Medical Assistant",90882,217.58,15,"N/A","N/A","N/A","Care Coordination","Environmental intervention for medical management purposes on a psychiatric patient's behalf with agencies, employers, or institutions, 15 minutes","N/A",54.4,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Medical Assistant",96160,217.58,15,"N/A","N/A","N/A","Care Coordination","Administration of patient-focused health risk assessment instrument (eg, health hazard appraisal) with scoring and documentation, per standardized instrument, 15 minutes","N/A",54.4,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Medical Assistant",96170,217.58,30,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; initial 30 minutes","N/A",108.79,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Medical Assistant",96171,217.58,15,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; each additional 15 minutes","N/A",54.4,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Medical Assistant",99368,217.58,60,"N/A","N/A","N/A","Care Coordination","Medical team conference with interdisciplinary team of health care professionals, patient and/or family not present, 30-1440 minutes; participation by nonphysician qualified health care professional","N/A",217.58,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Medical Assistant","H0001",217.58,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug assessment, 15 minutes","N/A",54.4,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Medical Assistant","H0003",217.58,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening. Laboratory analysis of specimens for presence of alcohol and/or drugs, 15 minutes","N/A",54.4,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Medical Assistant","H0033",217.58,15,"N/A","N/A","N/A","Medication Services","Medication administration, direct observation, 15 minutes","N/A",54.4,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Medical Assistant","H0034",217.58,15,"N/A","HQ","N/A","Medication Services","Medication training and support, 15 minutes","N/A",12.09,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Medical Assistant","H0034",217.58,15,"N/A","N/A","N/A","Medication Services","Medication training and support, 15 minutes","N/A",54.4,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Medical Assistant","H0048",217.58,15,"N/A","N/A","N/A","Assessment","Alcohol and/or other drug testing. Collection and handling only, specimens other than blood, 15 minutes","N/A",54.4,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Medical Assistant","H0049",217.58,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening, 15 minutes","N/A",54.4,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Medical Assistant","H2014",217.58,15,"N/A","HQ","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",12.09,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Medical Assistant","H2014",217.58,15,"N/A","N/A","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",54.4,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Medical Assistant","H2017",217.58,15,"N/A","HQ","N/A","Recovery","Psychosocial rehabilitation services, 15 Minutes","N/A",12.09,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Medical Assistant","H2017",217.58,15,"N/A","N/A","N/A","Recovery","Psychosocial rehabilitation services, 15 Minutes","N/A",54.4,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Medical Assistant","H2021",217.58,15,"N/A","N/A","N/A","Treatment Planning","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",54.4,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Medical Assistant","H2027",217.58,15,"N/A","N/A","N/A","Treatment Planning","Psychoeducational Service, 15 minutes","N/A",54.4,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Medical Assistant","T1013",217.58,"N/A","N/A","N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Medical Assistant","T1017",217.58,15,"N/A","N/A","N/A","Care Coordination","Targeted case management, 15 minutes","N/A",54.4,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Medical Assistant","T2024",217.58,15,"N/A","N/A","N/A","Assessment","Assessment substitute, 15 minutes","N/A",54.4,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","MFT/LPCC (Licensed, Waivered or Registered)",90785,386.05,"N/A","N/A","N/A","N/A","Supplemental","Interactive complexity. There is no assigned time for this code. ","N/A",18.89,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","MFT/LPCC (Licensed, Waivered or Registered)",90791,386.05,60,"N/A","N/A","N/A","Assessment","Psychiatric diagnostic evaluation, 60 minutes","N/A",386.05,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","MFT/LPCC (Licensed, Waivered or Registered)",90846,386.05,50,"N/A","N/A","N/A","Family Therapy","Family Psychotherapy (Without the Patient Present), 50 minutes","N/A",321.70999999999998,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","MFT/LPCC (Licensed, Waivered or Registered)",90847,386.05,50,"N/A","N/A","N/A","Family Therapy","Family Psychotherapy (Conjoint psychotheraphy with Patient Present), 50 minutes","N/A",321.70999999999998,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","MFT/LPCC (Licensed, Waivered or Registered)",90849,386.05,84,"N/A","N/A","N/A","Family Therapy","Multiple-family group psychotherapy, 84 minutes","N/A",120.1,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","MFT/LPCC (Licensed, Waivered or Registered)",90882,386.05,15,"N/A","N/A","N/A","Care Coordination","Environmental intervention for medical management purposes on a psychiatric patient's behalf with agencies, employers, or institutions, 15 minutes","N/A",96.51,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","MFT/LPCC (Licensed, Waivered or Registered)",90885,386.05,60,"N/A","N/A","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",386.05,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","MFT/LPCC (Licensed, Waivered or Registered)",90887,386.05,50,"N/A","N/A","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",321.70999999999998,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","MFT/LPCC (Licensed, Waivered or Registered)",90889,386.05,15,"N/A","N/A","N/A","Care Coordination","Preparation of report of patient's psychiatric status, history, treatment, or progress (other than for legal or consultative purposes) for other individuals, agencies, or insurance carriers, 15 minutes","N/A",96.51,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","MFT/LPCC (Licensed, Waivered or Registered)",96160,386.05,15,"N/A","N/A","N/A","Care Coordination","Administration of patient-focused health risk assessment instrument (eg, health hazard appraisal) with scoring and documentation, per standardized instrument, 15 minutes","N/A",96.51,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","MFT/LPCC (Licensed, Waivered or Registered)",96170,386.05,30,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; initial 30 minutes","N/A",193.03,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","MFT/LPCC (Licensed, Waivered or Registered)",96171,386.05,15,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; each additional 15 minutes","N/A",96.51,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","MFT/LPCC (Licensed, Waivered or Registered)",96202,386.05,60,"N/A","N/A","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",85.79,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","MFT/LPCC (Licensed, Waivered or Registered)",96203,386.05,15,"N/A","N/A","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",21.45,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","MFT/LPCC (Licensed, Waivered or Registered)",97550,386.05,23,"N/A","N/A","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",147.99,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","MFT/LPCC (Licensed, Waivered or Registered)",97551,386.05,15,"N/A","N/A","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",96.51,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","MFT/LPCC (Licensed, Waivered or Registered)",97552,386.05,45,"N/A","N/A","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",64.34,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","MFT/LPCC (Licensed, Waivered or Registered)",98966,386.05,8,"N/A","N/A","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",51.47,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","MFT/LPCC (Licensed, Waivered or Registered)",98967,386.05,16,"N/A","N/A","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",102.95,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","MFT/LPCC (Licensed, Waivered or Registered)",98968,386.05,26,"N/A","N/A","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",167.29,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","MFT/LPCC (Licensed, Waivered or Registered)",99368,386.05,60,"N/A","N/A","N/A","Care Coordination","Medical team conference with interdisciplinary team of health care professionals, patient and/or family not present, 30-1440 minutes; participation by nonphysician qualified health care professional","N/A",386.05,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","MFT/LPCC (Licensed, Waivered or Registered)","G0323",386.05,60,"N/A","N/A","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",386.05,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","MFT/LPCC (Licensed, Waivered or Registered)","G0396",386.05,23,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 15-30 Minutes","N/A",147.99,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","MFT/LPCC (Licensed, Waivered or Registered)","G0397",386.05,60,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 31-1440 Minutes","N/A",386.05,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","MFT/LPCC (Licensed, Waivered or Registered)","G0539",386.05,23,"N/A","N/A","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",147.99,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","MFT/LPCC (Licensed, Waivered or Registered)","G0540",386.05,15,"N/A","N/A","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",96.51,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","MFT/LPCC (Licensed, Waivered or Registered)","G0541",386.05,23,"N/A","N/A","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",147.99,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","MFT/LPCC (Licensed, Waivered or Registered)","G0542",386.05,15,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","MFT/LPCC (Licensed, Waivered or Registered)","G0543",386.05,45,"N/A","N/A","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",64.34,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","MFT/LPCC (Licensed, Waivered or Registered)","G2011",386.05,10,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 5-14 Minutes","N/A",64.34,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","MFT/LPCC (Licensed, Waivered or Registered)","H0001",386.05,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug assessment, 15 minutes","N/A",96.51,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","MFT/LPCC (Licensed, Waivered or Registered)","H0004",386.05,15,"N/A","N/A","N/A","Individual Counseling","Behavioral health counseling and therapy, 15 minutes","N/A",96.51,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","MFT/LPCC (Licensed, Waivered or Registered)","H0005",386.05,15,"N/A","N/A","N/A","Group Counseling","Alcohol and/or drug services; group counseling by a clinician, 15 minutes ","N/A",21.45,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","MFT/LPCC (Licensed, Waivered or Registered)","H0007",386.05,15,"N/A","N/A","N/A","Crisis Intervention","Alcohol and/or drug services; crisis intervention (outpatient), 15 minutes","N/A",96.51,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","MFT/LPCC (Licensed, Waivered or Registered)","H0049",386.05,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening, 15 minutes","N/A",96.51,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","MFT/LPCC (Licensed, Waivered or Registered)","H0050",386.05,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or Drug Services, brief intervention, 15 minutes","N/A",96.51,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","MFT/LPCC (Licensed, Waivered or Registered)","H1000",386.05,15,"N/A","N/A","N/A","Assessment","Prenatal Care, at risk assessment, 15 minutes ","N/A",96.51,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","MFT/LPCC (Licensed, Waivered or Registered)","H2014",386.05,15,"N/A","HQ","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",21.45,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","MFT/LPCC (Licensed, Waivered or Registered)","H2014",386.05,15,"N/A","N/A","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",96.51,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","MFT/LPCC (Licensed, Waivered or Registered)","H2015",386.05,15,"N/A","N/A","N/A","Recovery","Comprehensive community support services, 15 minutes","N/A",96.51,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","MFT/LPCC (Licensed, Waivered or Registered)","H2017",386.05,15,"N/A","HQ","N/A","Recovery","Psychosocial rehabilitation services, 15 Minutes","N/A",21.45,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","MFT/LPCC (Licensed, Waivered or Registered)","H2017",386.05,15,"N/A","N/A","N/A","Recovery","Psychosocial rehabilitation services, 15 Minutes","N/A",96.51,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","MFT/LPCC (Licensed, Waivered or Registered)","H2021",386.05,15,"N/A","N/A","N/A","Treatment Planning","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",96.51,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","MFT/LPCC (Licensed, Waivered or Registered)","H2027",386.05,15,"N/A","N/A","N/A","Treatment Planning","Psychoeducational Service, 15 minutes","N/A",96.51,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","MFT/LPCC (Licensed, Waivered or Registered)","H2035",386.05,60,"N/A","N/A","N/A","Recovery","Alcohol and/or other drug treatment program, per hour ","N/A",386.05,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","MFT/LPCC (Licensed, Waivered or Registered)","T1006",386.05,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or substance abuse services, family/couple counseling, 15 minutes","N/A",96.51,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","MFT/LPCC (Licensed, Waivered or Registered)","T1007",386.05,15,"N/A","N/A","N/A","Treatment Planning","Alcohol and/or substance abuse services, treatment plan development and/or modification, 15 minutes","N/A",96.51,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","MFT/LPCC (Licensed, Waivered or Registered)","T1013",386.05,"N/A","N/A","N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","MFT/LPCC (Licensed, Waivered or Registered)","T1017",386.05,15,"N/A","N/A","N/A","Care Coordination","Targeted case management, 15 minutes","N/A",96.51,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","MFT/LPCC (Licensed, Waivered or Registered)","T2021",386.05,15,"N/A","HQ","N/A","Family Therapy","Therapy substitute, 15 minutes","N/A",21.45,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","MFT/LPCC (Licensed, Waivered or Registered)","T2021",386.05,15,"N/A","N/A","N/A","Family Therapy","Therapy substitute, 15 minutes","N/A",96.51,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","MFT/LPCC (Licensed, Waivered or Registered)","T2021",386.05,15,"N/A",22,"N/A","Family Therapy","Therapy substitute, 15 minutes","N/A",99.52,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","MFT/LPCC (Licensed, Waivered or Registered)","T2024",386.05,15,"N/A","N/A","N/A","Assessment","Assessment substitute, 15 minutes","N/A",96.51,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Nurse Practitioner",90785,737.63,"N/A","N/A","N/A","N/A","Supplemental","Interactive complexity. There is no assigned time for this code. ","N/A",18.89,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Nurse Practitioner",90791,737.63,60,"N/A","N/A","N/A","Assessment","Psychiatric diagnostic evaluation, 60 minutes","N/A",737.63,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Nurse Practitioner",90792,737.63,60,"N/A","N/A","N/A","Assessment","Psychiatric diagnostic evaluation with medical services, 60 minutes","N/A",737.63,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Nurse Practitioner",90846,737.63,50,"N/A","N/A","N/A","Family Therapy","Family Psychotherapy (Without the Patient Present), 50 minutes","N/A",614.69000000000005,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Nurse Practitioner",90847,737.63,50,"N/A","N/A","N/A","Family Therapy","Family Psychotherapy (Conjoint psychotheraphy with Patient Present), 50 minutes","N/A",614.69000000000005,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Nurse Practitioner",90849,737.63,84,"N/A","N/A","N/A","Family Therapy","Multiple-family group psychotherapy, 84 minutes","N/A",229.48,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Nurse Practitioner",90865,737.63,90,"N/A","N/A","N/A","Assessment","Nacrosynthesis for psychiatric diagnostic and therapeutic purposes (eg, sodium amobarbital (Amytal) interview), 90 minutes","N/A",1106.45,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Nurse Practitioner",90882,737.63,15,"N/A","N/A","N/A","Care Coordination","Environmental intervention for medical management purposes on a psychiatric patient's behalf with agencies, employers, or institutions, 15 minutes","N/A",184.41,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Nurse Practitioner",90885,737.63,60,"N/A","N/A","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",737.63,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Nurse Practitioner",90887,737.63,50,"N/A","N/A","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",614.69000000000005,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Nurse Practitioner",90889,737.63,15,"N/A","N/A","N/A","Care Coordination","Preparation of report of patient's psychiatric status, history, treatment, or progress (other than for legal or consultative purposes) for other individuals, agencies, or insurance carriers, 15 minutes","N/A",184.41,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Nurse Practitioner",96130,737.63,60,"N/A","N/A","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",737.63,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Nurse Practitioner",96131,737.63,60,"N/A","N/A","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",737.63,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Nurse Practitioner",96160,737.63,15,"N/A","N/A","N/A","Care Coordination","Administration of patient-focused health risk assessment instrument (eg, health hazard appraisal) with scoring and documentation, per standardized instrument, 15 minutes","N/A",184.41,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Nurse Practitioner",96170,737.63,30,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; initial 30 minutes","N/A",368.82,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Nurse Practitioner",96171,737.63,15,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; each additional 15 minutes","N/A",184.41,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Nurse Practitioner",96202,737.63,60,"N/A","N/A","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",163.92,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Nurse Practitioner",96203,737.63,15,"N/A","N/A","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",40.98,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Nurse Practitioner",97550,737.63,23,"N/A","N/A","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",282.76,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Nurse Practitioner",97551,737.63,15,"N/A","N/A","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",184.41,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Nurse Practitioner",97552,737.63,45,"N/A","N/A","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",122.94,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Nurse Practitioner",98966,737.63,8,"N/A","N/A","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",98.35,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Nurse Practitioner",98967,737.63,16,"N/A","N/A","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",196.7,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Nurse Practitioner",98968,737.63,26,"N/A","N/A","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",319.64,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Nurse Practitioner",99202,737.63,22,"N/A","N/A","N/A","Assessment","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. 15-29 minutes total time on the date of the encounter.","N/A",270.45999999999998,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Nurse Practitioner",99203,737.63,37,"N/A","N/A","N/A","Assessment","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. 30-44 minutes total time on the date of the encounter.","N/A",454.87,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Nurse Practitioner",99204,737.63,52,"N/A","N/A","N/A","Assessment","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. 45-59 minutes total time on the date of the encounter.","N/A",639.28,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Nurse Practitioner",99205,737.63,67,"N/A","N/A","N/A","Assessment","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. 60-74 minutes total time on the date of the encounter.","N/A",823.69,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Nurse Practitioner",99212,737.63,15,"N/A","N/A","N/A","Assessment","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. 10-19 minutes total time on the date of the encounter.","N/A",184.41,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Nurse Practitioner",99213,737.63,25,"N/A","N/A","N/A","Assessment","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. 20-29 minutes total time on the date of the encounter.","N/A",307.35000000000002,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Nurse Practitioner",99214,737.63,35,"N/A","N/A","N/A","Assessment","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. 30-39 minutes total time on the date of the encounter.","N/A",430.28,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Nurse Practitioner",99215,737.63,47,"N/A","N/A","N/A","Assessment","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. 40-54 minutes total time on the date of the encounter.","N/A",577.80999999999995,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Nurse Practitioner",99234,737.63,57,"N/A","N/A","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. 45-69 minutes total time on the date of the encounter.","N/A",700.75,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Nurse Practitioner",99235,737.63,77,"N/A","N/A","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. 70-84 minutes total time on the date of the encounter.","N/A",946.63,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Nurse Practitioner",99236,737.63,92,"N/A","N/A","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. 85-99 minutes total time on the date of the encounter.","N/A",1131.03,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Nurse Practitioner",99238,737.63,30,"N/A","N/A","N/A","Discharge","Hospital inpatient or observation discharge day management; 30 minutes or less on the date of the encounter","N/A",368.82,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Nurse Practitioner",99239,737.63,60,"N/A","N/A","N/A","Discharge","Hospital inpatient or observation discharge day management; 30-1440 minutes on the date of the encounter","N/A",737.63,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Nurse Practitioner",99304,737.63,30,"N/A","N/A","N/A","Assessment","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. 25-34 minutes total time on the date of the encounter.","N/A",368.82,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Nurse Practitioner",99305,737.63,42,"N/A","N/A","N/A","Assessment","\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. 35-49 minutes total time on the date of the encounter.","N/A",516.34,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Nurse Practitioner",99306,737.63,57,"N/A","N/A","N/A","Assessment","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. 50-64 minutes total time on the date of the encounter.","N/A",700.75,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Nurse Practitioner",99307,737.63,15,"N/A","N/A","N/A","Assessment","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. 10-19 minutes total time on the date of the encounter for code selection.","N/A",184.41,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Nurse Practitioner",99308,737.63,25,"N/A","N/A","N/A","Assessment","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. 20-29 minutes total time on the date of the encounter.","N/A",307.35000000000002,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Nurse Practitioner",99309,737.63,37,"N/A","N/A","N/A","Assessment","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. 30-44 minutes total time on the date of the encounter.\t","N/A",454.87,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Nurse Practitioner",99310,737.63,52,"N/A","N/A","N/A","Assessment","\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. 45-59 minutes total time on the date of the encounter.","N/A",639.28,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Nurse Practitioner",99341,737.63,22,"N/A","N/A","N/A","Assessment","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. 15-29 minutes total time on the date of the encounter.","N/A",270.45999999999998,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Nurse Practitioner",99342,737.63,45,"N/A","N/A","N/A","Assessment","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. 30-59 minutes total time on the date of the encounter.","N/A",553.22,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Nurse Practitioner",99344,737.63,67,"N/A","N/A","N/A","Assessment","\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. 60-74 minutes total time on the date of the encounter.","N/A",823.69,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Nurse Practitioner",99345,737.63,82,"N/A","N/A","N/A","Assessment","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. 75-89 minutes total time on the date of the encounter.","N/A",1008.09,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Nurse Practitioner",99347,737.63,25,"N/A","N/A","N/A","Assessment","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. 20-29 minutes total time on the date of the encounter.","N/A",307.35000000000002,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Nurse Practitioner",99348,737.63,35,"N/A","N/A","N/A","Assessment","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. 30-39 minutes total time on the date of the encounter.","N/A",430.28,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Nurse Practitioner",99349,737.63,50,"N/A","N/A","N/A","Assessment","\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. 40-59 minutes total time on the date of the encounter.","N/A",614.69000000000005,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Nurse Practitioner",99350,737.63,67,"N/A","N/A","N/A","Assessment","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. 60-74 minutes total time on the date of the encounter.","N/A",823.69,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Nurse Practitioner",99368,737.63,60,"N/A","N/A","N/A","Care Coordination","Medical team conference with interdisciplinary team of health care professionals, patient and/or family not present, 30-1440 minutes; participation by nonphysician qualified health care professional","N/A",737.63,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Nurse Practitioner",99408,737.63,23,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or substance (other than tobacco) abuse structural screening (eg, AUDIT ,DAST), and brief intervention (SBI) services. 15-30 minutes. ","N/A",282.76,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Nurse Practitioner",99409,737.63,60,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or substance (other than tobacco) abuse structural screening (eg, AUDIT ,DAST), and brief intervention (SBI) services. 31-1440 minutes. ","N/A",737.63,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Nurse Practitioner",99415,737.63,60,"N/A","N/A","N/A","Assessment","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",737.63,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Nurse Practitioner",99416,737.63,30,"N/A","N/A","N/A","Assessment","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",368.82,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Nurse Practitioner",99417,737.63,15,"N/A","N/A","N/A","Assessment","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 (This code does not follow the midpoint rule. A  full 15 minutes must be met before one unit of 99417 can be claimed).","N/A",184.41,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Nurse Practitioner",99418,737.63,15,"N/A","N/A","N/A","Assessment","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 (This code does not follow the midpoint rule. A full 15 minutes must be met before one unit of 99418 can be claimed).","N/A",184.41,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Nurse Practitioner",99424,737.63,30,"N/A","N/A","N/A","Care Coordination","Principal care management services, for a single high-risk disease, first 30 minutes provided personally by a physician or other qualified health care professional, per calendar month. At least 30 minutes of service must be provided before 1 unit of this code can be reported.","N/A",368.82,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Nurse Practitioner",99425,737.63,30,"N/A","N/A","N/A","Care Coordination","Principal care management services, for a single high-risk disease, each additional 30 minutes provided personally by a physician or other qualified health care professional, per calendar month. Code 99425 is reported in conjunction with 99424, when at least an additional 30 minutes of service time is provided beyond 99424.","N/A",368.82,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Nurse Practitioner",99437,737.63,30,"N/A","N/A","N/A","Care Coordination","Chronic care management services, each additional 30 minutes by a physician or other qualified health care professional, per calendar month. Code 99437 is reported in conjunction with 99491, when at least an additional 30 minutes of service time is provided beyond 99491.","N/A",368.82,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Nurse Practitioner",99441,737.63,8,"N/A","N/A","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",98.35,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Nurse Practitioner",99442,737.63,16,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Nurse Practitioner",99443,737.63,26,"N/A","N/A","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",319.64,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Nurse Practitioner",99491,737.63,30,"N/A","N/A","N/A","Care Coordination","Chronic care management services, first 30 minutes provided personally by a physician or other qualified health care professional, per calendar month. At least 30 minutes of service must be provided before 1 unit of this code can be reported.","N/A",368.82,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Nurse Practitioner",99495,737.63,54,"N/A","N/A","N/A","Discharge","Transitional Care Management Services with the following required elements: Communication (direct contact, telephone, electronic) with the patient and/or caregiver within 2 business days of discharge. Medical decision making of at least moderate complexity during the service period, face-to-face visit within 14 calendar days of discharge, 54 minutes","N/A",663.87,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Nurse Practitioner",99496,737.63,75,"N/A","N/A","N/A","Discharge","Transitional Care Management Services with the following required elements: Communication (direct contact, telephone, electronic) with the patient and/or caregiver within 2 business days of discharge. Medical decision making of high complexity during the service period, face-to-face visit within 7 calendar days of discharge, 75 minutes","N/A",922.04,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Nurse Practitioner","G0316",737.63,15,"N/A","N/A","N/A","Assessment","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",184.41,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Nurse Practitioner","G0396",737.63,23,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 15-30 Minutes","N/A",282.76,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Nurse Practitioner","G0397",737.63,60,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 31-1440 Minutes","N/A",737.63,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Nurse Practitioner","G0539",737.63,23,"N/A","N/A","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",282.76,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Nurse Practitioner","G0540",737.63,15,"N/A","N/A","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",184.41,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Nurse Practitioner","G0541",737.63,23,"N/A","N/A","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",282.76,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Nurse Practitioner","G0542",737.63,15,"N/A","N/A","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",184.41,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Nurse Practitioner","G0543",737.63,45,"N/A","N/A","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",122.94,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Nurse Practitioner","G2011",737.63,10,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 5-14 Minutes","N/A",122.94,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Nurse Practitioner","H0001",737.63,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug assessment, 15 minutes","N/A",184.41,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Nurse Practitioner","H0003",737.63,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening. Laboratory analysis of specimens for presence of alcohol and/or drugs, 15 minutes","N/A",184.41,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Nurse Practitioner","H0004",737.63,15,"N/A","N/A","N/A","Individual Counseling","Behavioral health counseling and therapy, 15 minutes","N/A",184.41,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Nurse Practitioner","H0005",737.63,15,"N/A","N/A","N/A","Group Counseling","Alcohol and/or drug services; group counseling by a clinician, 15 minutes ","N/A",40.98,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Nurse Practitioner","H0007",737.63,15,"N/A","N/A","N/A","Crisis Intervention","Alcohol and/or drug services; crisis intervention (outpatient), 15 minutes","N/A",184.41,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Nurse Practitioner","H0008",737.63,15,"N/A","N/A","N/A","Recovery","Alcohol and/or drug services: (hospital inpatient) Subacute detoxification, 15 minutes","N/A",184.41,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Nurse Practitioner","H0009",737.63,15,"N/A","N/A","N/A","Recovery","Alcohol and/or drug services:  (hospital inpatient) Acute detoxification, 15 minutes","N/A",184.41,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Nurse Practitioner","H0033",737.63,15,"N/A","N/A","N/A","Medication Services","Medication administration, direct observation, 15 minutes","N/A",184.41,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Nurse Practitioner","H0034",737.63,15,"N/A","HQ","N/A","Medication Services","Medication training and support, 15 minutes","N/A",40.98,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Nurse Practitioner","H0034",737.63,15,"N/A","N/A","N/A","Medication Services","Medication training and support, 15 minutes","N/A",184.41,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Nurse Practitioner","H0048",737.63,15,"N/A","N/A","N/A","Assessment","Alcohol and/or other drug testing. Collection and handling only, specimens other than blood, 15 minutes","N/A",184.41,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Nurse Practitioner","H0049",737.63,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening, 15 minutes","N/A",184.41,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Nurse Practitioner","H0050",737.63,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or Drug Services, brief intervention, 15 minutes","N/A",184.41,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Nurse Practitioner","H1000",737.63,15,"N/A","N/A","N/A","Assessment","Prenatal Care, at risk assessment, 15 minutes ","N/A",184.41,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Nurse Practitioner","H2014",737.63,15,"N/A","HQ","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",40.98,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Nurse Practitioner","H2014",737.63,15,"N/A","N/A","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",184.41,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Nurse Practitioner","H2015",737.63,15,"N/A","N/A","N/A","Recovery","Comprehensive community support services, 15 minutes","N/A",184.41,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Nurse Practitioner","H2017",737.63,15,"N/A","HQ","N/A","Recovery","Psychosocial rehabilitation services, 15 Minutes","N/A",40.98,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Nurse Practitioner","H2017",737.63,15,"N/A","N/A","N/A","Recovery","Psychosocial rehabilitation services, 15 Minutes","N/A",184.41,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Nurse Practitioner","H2021",737.63,15,"N/A","N/A","N/A","Treatment Planning","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",184.41,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Nurse Practitioner","H2027",737.63,15,"N/A","N/A","N/A","Treatment Planning","Psychoeducational Service, 15 minutes","N/A",184.41,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Nurse Practitioner","H2035",737.63,60,"N/A","N/A","N/A","Recovery","Alcohol and/or other drug treatment program, per hour ","N/A",737.63,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Nurse Practitioner","T1006",737.63,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or substance abuse services, family/couple counseling, 15 minutes","N/A",184.41,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Nurse Practitioner","T1007",737.63,15,"N/A","N/A","N/A","Treatment Planning","Alcohol and/or substance abuse services, treatment plan development and/or modification, 15 minutes","N/A",184.41,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Nurse Practitioner","T1013",737.63,"N/A","N/A","N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Nurse Practitioner","T1017",737.63,15,"N/A","N/A","N/A","Care Coordination","Targeted case management, 15 minutes","N/A",184.41,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Nurse Practitioner","T2021",737.63,15,"N/A","HQ","N/A","Family Therapy","Therapy substitute, 15 minutes","N/A",40.98,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Nurse Practitioner","T2021",737.63,15,"N/A","N/A","N/A","Family Therapy","Therapy substitute, 15 minutes","N/A",184.41,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Nurse Practitioner","T2021",737.63,15,"N/A",22,"N/A","Family Therapy","Therapy substitute, 15 minutes","N/A",187.42,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Nurse Practitioner","T2024",737.63,15,"N/A","N/A","N/A","Assessment","Assessment substitute, 15 minutes","N/A",184.41,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Occupational Therapist",90785,513.89,"N/A","N/A","N/A","N/A","Supplemental","Interactive complexity. There is no assigned time for this code. ","N/A",18.89,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Occupational Therapist",90882,513.89,15,"N/A","N/A","N/A","Care Coordination","Environmental intervention for medical management purposes on a psychiatric patient's behalf with agencies, employers, or institutions, 15 minutes","N/A",128.47,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Occupational Therapist",90887,513.89,50,"N/A","N/A","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",428.24,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Occupational Therapist",90889,513.89,15,"N/A","N/A","N/A","Care Coordination","Preparation of report of patient's psychiatric status, history, treatment, or progress (other than for legal or consultative purposes) for other individuals, agencies, or insurance carriers, 15 minutes","N/A",128.47,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Occupational Therapist",96160,513.89,15,"N/A","N/A","N/A","Care Coordination","Administration of patient-focused health risk assessment instrument (eg, health hazard appraisal) with scoring and documentation, per standardized instrument, 15 minutes","N/A",128.47,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Occupational Therapist",96170,513.89,30,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; initial 30 minutes","N/A",256.95,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Occupational Therapist",96171,513.89,15,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; each additional 15 minutes","N/A",128.47,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Occupational Therapist",96202,513.89,60,"N/A","N/A","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",114.2,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Occupational Therapist",96203,513.89,15,"N/A","N/A","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",28.55,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Occupational Therapist",97550,513.89,23,"N/A","N/A","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",196.99,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Occupational Therapist",97551,513.89,15,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Occupational Therapist",97552,513.89,45,"N/A","N/A","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",85.65,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Occupational Therapist","G0539",513.89,23,"N/A","N/A","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",196.99,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Occupational Therapist","G0540",513.89,15,"N/A","N/A","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",128.47,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Occupational Therapist","G0541",513.89,23,"N/A","N/A","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",196.99,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Occupational Therapist","G0542",513.89,15,"N/A","N/A","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",128.47,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Occupational Therapist","G0543",513.89,45,"N/A","N/A","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",85.65,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Occupational Therapist","H0001",513.89,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug assessment, 15 minutes","N/A",128.47,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Occupational Therapist","H0004",513.89,15,"N/A","N/A","N/A","Individual Counseling","Behavioral health counseling and therapy, 15 minutes","N/A",128.47,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Occupational Therapist","H0005",513.89,15,"N/A","N/A","N/A","Group Counseling","Alcohol and/or drug services; group counseling by a clinician, 15 minutes ","N/A",28.55,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Occupational Therapist","H0007",513.89,15,"N/A","N/A","N/A","Crisis Intervention","Alcohol and/or drug services; crisis intervention (outpatient), 15 minutes","N/A",128.47,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Occupational Therapist","H0033",513.89,15,"N/A","N/A","N/A","Medication Services","Medication administration, direct observation, 15 minutes","N/A",128.47,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Occupational Therapist","H0050",513.89,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or Drug Services, brief intervention, 15 minutes","N/A",128.47,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Occupational Therapist","H2014",513.89,15,"N/A","HQ","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",28.55,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Occupational Therapist","H2014",513.89,15,"N/A","N/A","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",128.47,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Occupational Therapist","H2015",513.89,15,"N/A","N/A","N/A","Recovery","Comprehensive community support services, 15 minutes","N/A",128.47,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Occupational Therapist","H2017",513.89,15,"N/A","HQ","N/A","Recovery","Psychosocial rehabilitation services, 15 Minutes","N/A",28.55,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Occupational Therapist","H2017",513.89,15,"N/A","N/A","N/A","Recovery","Psychosocial rehabilitation services, 15 Minutes","N/A",128.47,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Occupational Therapist","H2021",513.89,15,"N/A","N/A","N/A","Treatment Planning","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",128.47,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Occupational Therapist","H2027",513.89,15,"N/A","N/A","N/A","Treatment Planning","Psychoeducational Service, 15 minutes","N/A",128.47,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Occupational Therapist","T1007",513.89,15,"N/A","N/A","N/A","Treatment Planning","Alcohol and/or substance abuse services, treatment plan development and/or modification, 15 minutes","N/A",128.47,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Occupational Therapist","T1013",513.89,"N/A","N/A","N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Occupational Therapist","T1017",513.89,15,"N/A","N/A","N/A","Care Coordination","Targeted case management, 15 minutes","N/A",128.47,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Occupational Therapist","T2024",513.89,15,"N/A","N/A","N/A","Assessment","Assessment substitute, 15 minutes","N/A",128.47,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Other Qualified Practitioner",90785,290.45,"N/A","N/A","N/A","N/A","Supplemental","Interactive complexity. There is no assigned time for this code. ","N/A",18.32,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Other Qualified Practitioner",90882,290.45,15,"N/A","N/A","N/A","Care Coordination","Environmental intervention for medical management purposes on a psychiatric patient's behalf with agencies, employers, or institutions, 15 minutes","N/A",72.61,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Other Qualified Practitioner","G0396",290.45,23,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 15-30 Minutes","N/A",111.34,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Other Qualified Practitioner","G0397",290.45,60,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 31-1440 Minutes","N/A",290.45,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Other Qualified Practitioner","H0050",290.45,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or Drug Services, brief intervention, 15 minutes","N/A",72.61,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Other Qualified Practitioner","T1013",290.45,"N/A","N/A","N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Physician Assistant",96130,665.28,60,"N/A","N/A","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",665.28,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Physician Assistant",98966,665.28,8,"N/A","N/A","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",88.7,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Physician Assistant",99205,665.28,67,"N/A","N/A","N/A","Assessment","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. 60-74 minutes total time on the date of the encounter.","N/A",742.9,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Physician Assistant",99305,665.28,42,"N/A","N/A","N/A","Assessment","\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. 35-49 minutes total time on the date of the encounter.","N/A",465.7,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Physician Assistant",99415,665.28,60,"N/A","N/A","N/A","Assessment","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",665.28,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Physician Assistant",99437,665.28,30,"N/A","N/A","N/A","Care Coordination","Chronic care management services, each additional 30 minutes by a physician or other qualified health care professional, per calendar month. Code 99437 is reported in conjunction with 99491, when at least an additional 30 minutes of service time is provided beyond 99491.","N/A",332.64,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Physician Assistant","G0539",665.28,23,"N/A","N/A","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",255.02,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Physician Assistant","H0049",665.28,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening, 15 minutes","N/A",166.32,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Physician Assistant","H2017",665.28,15,"N/A","HQ","N/A","Recovery","Psychosocial rehabilitation services, 15 Minutes","N/A",36.96,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Psychologist (Licensed or Waivered)",90849,596.55999999999995,84,"N/A","N/A","N/A","Family Therapy","Multiple-family group psychotherapy, 84 minutes","N/A",185.6,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Psychologist (Licensed or Waivered)",96203,596.55999999999995,15,"N/A","N/A","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",33.14,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Psychologist (Licensed or Waivered)",98968,596.55999999999995,26,"N/A","N/A","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",258.51,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Psychologist (Licensed or Waivered)","G2011",596.55999999999995,10,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 5-14 Minutes","N/A",99.43,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Psychologist (Licensed or Waivered)","T2021",596.55999999999995,15,"N/A","HQ","N/A","Family Therapy","Therapy substitute, 15 minutes","N/A",33.14,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Registered Nurse",96171,602.52,15,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; each additional 15 minutes","N/A",150.63,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Registered Nurse","G0539",602.52,23,"N/A","N/A","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",230.97,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Registered Nurse","H0005",602.52,15,"N/A","N/A","N/A","Group Counseling","Alcohol and/or drug services; group counseling by a clinician, 15 minutes ","N/A",33.47,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Registered Nurse","H1000",602.52,15,"N/A","N/A","N/A","Assessment","Prenatal Care, at risk assessment, 15 minutes ","N/A",150.63,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Registered Nurse","T1007",602.52,15,"N/A","N/A","N/A","Treatment Planning","Alcohol and/or substance abuse services, treatment plan development and/or modification, 15 minutes","N/A",150.63,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Registered Pharmacist",97552,710.05,45,"N/A","N/A","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",118.34,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Registered Pharmacist","H0033",710.05,15,"N/A","N/A","N/A","Medication Services","Medication administration, direct observation, 15 minutes","N/A",177.51,"N/A","2025-07-01","2026-06-30"]
[9,"El Dorado","Registered Pharmacist","H2035",710.05,60,"N/A","N/A","N/A","Recovery","Alcohol and/or other drug treatment program, per hour ","N/A",710.05,"N/A","2025-07-01","2026-06-30"]
[10,"Fresno","Certified AOD Counselor","H0005",348.98,15,"N/A","N/A","N/A","Group Counseling","Alcohol and/or drug services; group counseling by a clinician, 15 minutes ","N/A",19.39,"N/A","2025-07-01","2026-06-30"]
[10,"Fresno","Certified AOD Counselor","T2024",348.98,15,"N/A","N/A","N/A","Assessment","Assessment substitute, 15 minutes","N/A",87.25,"N/A","2025-07-01","2026-06-30"]
[10,"Fresno","LCSW (Licensed, Waivered or Registered)",90785,420.73,"N/A","N/A","N/A","N/A","Supplemental","Interactive complexity. There is no assigned time for this code. ","N/A",18.89,"N/A","2025-07-01","2026-06-30"]
[10,"Fresno","LCSW (Licensed, Waivered or Registered)",96170,420.73,30,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; initial 30 minutes","N/A",210.37,"N/A","2025-07-01","2026-06-30"]
[10,"Fresno","LCSW (Licensed, Waivered or Registered)","G0541",420.73,23,"N/A","N/A","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",161.28,"N/A","2025-07-01","2026-06-30"]
[10,"Fresno","LCSW (Licensed, Waivered or Registered)","H2014",420.73,15,"N/A","N/A","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",105.18,"N/A","2025-07-01","2026-06-30"]
[10,"Fresno","LCSW (Licensed, Waivered or Registered)","H2035",420.73,60,"N/A","N/A","N/A","Recovery","Alcohol and/or other drug treatment program, per hour ","N/A",420.73,"N/A","2025-07-01","2026-06-30"]
[10,"Fresno","Licensed Physician",90885,1616.62,60,"N/A","N/A","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",1616.62,"N/A","2025-07-01","2026-06-30"]
[10,"Fresno","Licensed Physician",97550,1616.62,23,"N/A","N/A","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",619.70000000000005,"N/A","2025-07-01","2026-06-30"]
[10,"Fresno","Licensed Physician",99205,1616.62,67,"N/A","N/A","N/A","Assessment","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. 60-74 minutes total time on the date of the encounter.","N/A",1805.23,"N/A","2025-07-01","2026-06-30"]
[10,"Fresno","Licensed Physician",99342,1616.62,45,"N/A","N/A","N/A","Assessment","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. 30-59 minutes total time on the date of the encounter.","N/A",1212.47,"N/A","2025-07-01","2026-06-30"]
[10,"Fresno","Licensed Physician",99415,1616.62,60,"N/A","N/A","N/A","Assessment","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",1616.62,"N/A","2025-07-01","2026-06-30"]
[10,"Fresno","Licensed Physician",99437,1616.62,30,"N/A","N/A","N/A","Care Coordination","Chronic care management services, each additional 30 minutes by a physician or other qualified health care professional, per calendar month. Code 99437 is reported in conjunction with 99491, when at least an additional 30 minutes of service time is provided beyond 99491.","N/A",808.31,"N/A","2025-07-01","2026-06-30"]
[10,"Fresno","Licensed Physician","H0007",1616.62,15,"N/A","N/A","N/A","Crisis Intervention","Alcohol and/or drug services; crisis intervention (outpatient), 15 minutes","N/A",404.16,"N/A","2025-07-01","2026-06-30"]
[10,"Fresno","Licensed Physician","H0048",1616.62,15,"N/A","N/A","N/A","Assessment","Alcohol and/or other drug testing. Collection and handling only, specimens other than blood, 15 minutes","N/A",404.16,"N/A","2025-07-01","2026-06-30"]
[10,"Fresno","Licensed Physician","H2015",1616.62,15,"N/A","N/A","N/A","Recovery","Comprehensive community support services, 15 minutes","N/A",404.16,"N/A","2025-07-01","2026-06-30"]
[10,"Fresno","Licensed Psychiatric Technician",97550,295.72000000000003,23,"N/A","N/A","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",113.36,"N/A","2025-07-01","2026-06-30"]
[10,"Fresno","Licensed Psychiatric Technician","G0540",295.72000000000003,15,"N/A","N/A","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",73.930000000000007,"N/A","2025-07-01","2026-06-30"]
[10,"Fresno","Licensed Psychiatric Technician","H0033",295.72000000000003,15,"N/A","N/A","N/A","Medication Services","Medication administration, direct observation, 15 minutes","N/A",73.930000000000007,"N/A","2025-07-01","2026-06-30"]
[10,"Fresno","Licensed Psychiatric Technician","T1017",295.72000000000003,15,"N/A","N/A","N/A","Care Coordination","Targeted case management, 15 minutes","N/A",73.930000000000007,"N/A","2025-07-01","2026-06-30"]
[10,"Fresno","Licensed Vocational Nurse",96171,344.95,15,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; each additional 15 minutes","N/A",86.24,"N/A","2025-07-01","2026-06-30"]
[10,"Fresno","Licensed Vocational Nurse","G0543",344.95,45,"N/A","N/A","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",57.49,"N/A","2025-07-01","2026-06-30"]
[10,"Fresno","Licensed Vocational Nurse","H2015",344.95,15,"N/A","N/A","N/A","Recovery","Comprehensive community support services, 15 minutes","N/A",86.24,"N/A","2025-07-01","2026-06-30"]
[10,"Fresno","Licensed Vocational Nurse","T1007",344.95,15,"N/A","N/A","N/A","Treatment Planning","Alcohol and/or substance abuse services, treatment plan development and/or modification, 15 minutes","N/A",86.24,"N/A","2025-07-01","2026-06-30"]
[10,"Fresno","Medical Assistant","H0003",237.13,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening. Laboratory analysis of specimens for presence of alcohol and/or drugs, 15 minutes","N/A",59.28,"N/A","2025-07-01","2026-06-30"]
[10,"Fresno","MFT/LPCC (Licensed, Waivered or Registered)",90846,420.73,50,"N/A","N/A","N/A","Family Therapy","Family Psychotherapy (Without the Patient Present), 50 minutes","N/A",350.61,"N/A","2025-07-01","2026-06-30"]
[10,"Fresno","MFT/LPCC (Licensed, Waivered or Registered)",96202,420.73,60,"N/A","N/A","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",93.5,"N/A","2025-07-01","2026-06-30"]
[10,"Fresno","MFT/LPCC (Licensed, Waivered or Registered)","G0396",420.73,23,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 15-30 Minutes","N/A",161.28,"N/A","2025-07-01","2026-06-30"]
[10,"Fresno","MFT/LPCC (Licensed, Waivered or Registered)","H1000",420.73,15,"N/A","N/A","N/A","Assessment","Prenatal Care, at risk assessment, 15 minutes ","N/A",105.18,"N/A","2025-07-01","2026-06-30"]
[10,"Fresno","MFT/LPCC (Licensed, Waivered or Registered)","T1007",420.73,15,"N/A","N/A","N/A","Treatment Planning","Alcohol and/or substance abuse services, treatment plan development and/or modification, 15 minutes","N/A",105.18,"N/A","2025-07-01","2026-06-30"]
[10,"Fresno","MFT/LPCC (Licensed, Waivered or Registered)","T2024",420.73,15,"N/A","N/A","N/A","Assessment","Assessment substitute, 15 minutes","N/A",105.18,"N/A","2025-07-01","2026-06-30"]
[10,"Fresno","Nurse Practitioner",90887,803.9,50,"N/A","N/A","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",669.92,"N/A","2025-07-01","2026-06-30"]
[10,"Fresno","Nurse Practitioner",97550,803.9,23,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[10,"Fresno","Nurse Practitioner",99235,803.9,77,"N/A","N/A","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. 70-84 minutes total time on the date of the encounter.","N/A",1031.67,"N/A","2025-07-01","2026-06-30"]
[10,"Fresno","Nurse Practitioner",99310,803.9,52,"N/A","N/A","N/A","Assessment","\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. 45-59 minutes total time on the date of the encounter.","N/A",696.71,"N/A","2025-07-01","2026-06-30"]
[10,"Fresno","Nurse Practitioner",99425,803.9,30,"N/A","N/A","N/A","Care Coordination","Principal care management services, for a single high-risk disease, each additional 30 minutes provided personally by a physician or other qualified health care professional, per calendar month. Code 99425 is reported in conjunction with 99424, when at least an additional 30 minutes of service time is provided beyond 99424.","N/A",401.95,"N/A","2025-07-01","2026-06-30"]
[10,"Fresno","Nurse Practitioner",99495,803.9,54,"N/A","N/A","N/A","Discharge","Transitional Care Management Services with the following required elements: Communication (direct contact, telephone, electronic) with the patient and/or caregiver within 2 business days of discharge. Medical decision making of at least moderate complexity during the service period, face-to-face visit within 14 calendar days of discharge, 54 minutes","N/A",723.51,"N/A","2025-07-01","2026-06-30"]
[10,"Fresno","Nurse Practitioner","G2011",803.9,10,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 5-14 Minutes","N/A",133.97999999999999,"N/A","2025-07-01","2026-06-30"]
[10,"Fresno","Nurse Practitioner","H0048",803.9,15,"N/A","N/A","N/A","Assessment","Alcohol and/or other drug testing. Collection and handling only, specimens other than blood, 15 minutes","N/A",200.98,"N/A","2025-07-01","2026-06-30"]
[10,"Fresno","Nurse Practitioner","T2021",803.9,15,"N/A","N/A","N/A","Family Therapy","Therapy substitute, 15 minutes","N/A",200.98,"N/A","2025-07-01","2026-06-30"]
[10,"Fresno","Occupational Therapist",90889,560.05999999999995,15,"N/A","N/A","N/A","Care Coordination","Preparation of report of patient's psychiatric status, history, treatment, or progress (other than for legal or consultative purposes) for other individuals, agencies, or insurance carriers, 15 minutes","N/A",140.02000000000001,"N/A","2025-07-01","2026-06-30"]
[10,"Fresno","Occupational Therapist","H0007",560.05999999999995,15,"N/A","N/A","N/A","Crisis Intervention","Alcohol and/or drug services; crisis intervention (outpatient), 15 minutes","N/A",140.02000000000001,"N/A","2025-07-01","2026-06-30"]
[10,"Fresno","Occupational Therapist","T1007",560.05999999999995,15,"N/A","N/A","N/A","Treatment Planning","Alcohol and/or substance abuse services, treatment plan development and/or modification, 15 minutes","N/A",140.02000000000001,"N/A","2025-07-01","2026-06-30"]
[10,"Fresno","Other Qualified Practitioner","G0396",316.54000000000002,23,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 15-30 Minutes","N/A",121.34,"N/A","2025-07-01","2026-06-30"]
[10,"Fresno","Other Qualified Practitioner","H2027",316.54000000000002,15,"N/A","N/A","N/A","Treatment Planning","Psychoeducational Service, 15 minutes","N/A",79.14,"N/A","2025-07-01","2026-06-30"]
[10,"Fresno","Physician Assistant",90882,725.04,15,"N/A","N/A","N/A","Care Coordination","Environmental intervention for medical management purposes on a psychiatric patient's behalf with agencies, employers, or institutions, 15 minutes","N/A",181.26,"N/A","2025-07-01","2026-06-30"]
[10,"Fresno","Physician Assistant",96160,725.04,15,"N/A","N/A","N/A","Care Coordination","Administration of patient-focused health risk assessment instrument (eg, health hazard appraisal) with scoring and documentation, per standardized instrument, 15 minutes","N/A",181.26,"N/A","2025-07-01","2026-06-30"]
[10,"Fresno","Physician Assistant",98968,725.04,26,"N/A","N/A","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",314.18,"N/A","2025-07-01","2026-06-30"]
[10,"Fresno","Physician Assistant",99307,725.04,15,"N/A","N/A","N/A","Assessment","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. 10-19 minutes total time on the date of the encounter for code selection.","N/A",181.26,"N/A","2025-07-01","2026-06-30"]
[10,"Fresno","Physician Assistant",99344,725.04,67,"N/A","N/A","N/A","Assessment","\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. 60-74 minutes total time on the date of the encounter.","N/A",809.63,"N/A","2025-07-01","2026-06-30"]
[10,"Fresno","Physician Assistant",99491,725.04,30,"N/A","N/A","N/A","Care Coordination","Chronic care management services, first 30 minutes provided personally by a physician or other qualified health care professional, per calendar month. At least 30 minutes of service must be provided before 1 unit of this code can be reported.","N/A",362.52,"N/A","2025-07-01","2026-06-30"]
[10,"Fresno","Physician Assistant","G0542",725.04,15,"N/A","N/A","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",181.26,"N/A","2025-07-01","2026-06-30"]
[10,"Fresno","Physician Assistant","H0033",725.04,15,"N/A","N/A","N/A","Medication Services","Medication administration, direct observation, 15 minutes","N/A",181.26,"N/A","2025-07-01","2026-06-30"]
[10,"Fresno","Physician Assistant","H1000",725.04,15,"N/A","N/A","N/A","Assessment","Prenatal Care, at risk assessment, 15 minutes ","N/A",181.26,"N/A","2025-07-01","2026-06-30"]
[10,"Fresno","Psychologist (Licensed or Waivered)",90785,650.15,"N/A","N/A","N/A","N/A","Supplemental","Interactive complexity. There is no assigned time for this code. ","N/A",18.89,"N/A","2025-07-01","2026-06-30"]
[10,"Fresno","Psychologist (Licensed or Waivered)",90887,650.15,50,"N/A","N/A","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",541.79,"N/A","2025-07-01","2026-06-30"]
[10,"Fresno","Psychologist (Licensed or Waivered)",97551,650.15,15,"N/A","N/A","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",162.54,"N/A","2025-07-01","2026-06-30"]
[10,"Fresno","Psychologist (Licensed or Waivered)","H0004",650.15,15,"N/A","N/A","N/A","Individual Counseling","Behavioral health counseling and therapy, 15 minutes","N/A",162.54,"N/A","2025-07-01","2026-06-30"]
[10,"Fresno","Psychologist (Licensed or Waivered)","T1006",650.15,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or substance abuse services, family/couple counseling, 15 minutes","N/A",162.54,"N/A","2025-07-01","2026-06-30"]
[10,"Fresno","Psychologist (Licensed or Waivered)","T2021",650.15,15,"N/A",22,"N/A","Family Therapy","Therapy substitute, 15 minutes","N/A",165.55,"N/A","2025-07-01","2026-06-30"]
[10,"Fresno","Registered Nurse",96203,656.65,15,"N/A","N/A","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",36.479999999999997,"N/A","2025-07-01","2026-06-30"]
[10,"Fresno","Registered Nurse","G0542",656.65,15,"N/A","N/A","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",164.16,"N/A","2025-07-01","2026-06-30"]
[10,"Fresno","Registered Nurse","H0008",656.65,15,"N/A","N/A","N/A","Recovery","Alcohol and/or drug services: (hospital inpatient) Subacute detoxification, 15 minutes","N/A",164.16,"N/A","2025-07-01","2026-06-30"]
[10,"Fresno","Registered Nurse","H2014",656.65,15,"N/A","N/A","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",164.16,"N/A","2025-07-01","2026-06-30"]
[10,"Fresno","Registered Pharmacist","G0397",773.84,60,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 31-1440 Minutes","N/A",773.84,"N/A","2025-07-01","2026-06-30"]
[10,"Fresno","Registered Pharmacist","G2011",773.84,10,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 5-14 Minutes","N/A",128.97,"N/A","2025-07-01","2026-06-30"]
[10,"Fresno","Registered Pharmacist","H0050",773.84,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or Drug Services, brief intervention, 15 minutes","N/A",193.46,"N/A","2025-07-01","2026-06-30"]
[13,"Imperial","Certified AOD Counselor","H0050",337.82,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or Drug Services, brief intervention, 15 minutes","N/A",84.46,"N/A","2025-07-01","2026-06-30"]
[13,"Imperial","Certified AOD Counselor","T1006",337.82,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or substance abuse services, family/couple counseling, 15 minutes","N/A",84.46,"N/A","2025-07-01","2026-06-30"]
[13,"Imperial","Community Health Worker",98961,314.07,30,"N/A","N/A","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",52.35,"N/A","2025-07-01","2026-06-30"]
[13,"Imperial","LCSW (Licensed, Waivered or Registered)",96203,407.27,15,"N/A","N/A","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",22.63,"N/A","2025-07-01","2026-06-30"]
[13,"Imperial","LCSW (Licensed, Waivered or Registered)","G0397",407.27,60,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 31-1440 Minutes","N/A",407.27,"N/A","2025-07-01","2026-06-30"]
[13,"Imperial","LCSW (Licensed, Waivered or Registered)","G2011",407.27,10,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 5-14 Minutes","N/A",67.88,"N/A","2025-07-01","2026-06-30"]
[13,"Imperial","LCSW (Licensed, Waivered or Registered)","H2017",407.27,15,"N/A","HQ","N/A","Recovery","Psychosocial rehabilitation services, 15 Minutes","N/A",22.63,"N/A","2025-07-01","2026-06-30"]
[13,"Imperial","Licensed Physician",90847,1564.89,50,"N/A","N/A","N/A","Family Therapy","Family Psychotherapy (Conjoint psychotheraphy with Patient Present), 50 minutes","N/A",1304.08,"N/A","2025-07-01","2026-06-30"]
[13,"Imperial","Licensed Physician",90889,1564.89,15,"N/A","N/A","N/A","Care Coordination","Preparation of report of patient's psychiatric status, history, treatment, or progress (other than for legal or consultative purposes) for other individuals, agencies, or insurance carriers, 15 minutes","N/A",391.22,"N/A","2025-07-01","2026-06-30"]
[13,"Imperial","Licensed Physician",97552,1564.89,45,"N/A","N/A","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",260.82,"N/A","2025-07-01","2026-06-30"]
[13,"Imperial","Licensed Physician",99307,1564.89,15,"N/A","N/A","N/A","Assessment","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. 10-19 minutes total time on the date of the encounter for code selection.","N/A",391.22,"N/A","2025-07-01","2026-06-30"]
[13,"Imperial","Licensed Physician",99347,1564.89,25,"N/A","N/A","N/A","Assessment","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. 20-29 minutes total time on the date of the encounter.","N/A",652.04,"N/A","2025-07-01","2026-06-30"]
[13,"Imperial","Licensed Physician",99417,1564.89,15,"N/A","N/A","N/A","Assessment","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 (This code does not follow the midpoint rule. A  full 15 minutes must be met before one unit of 99417 can be claimed).","N/A",391.22,"N/A","2025-07-01","2026-06-30"]
[13,"Imperial","Licensed Physician","G0541",1564.89,23,"N/A","N/A","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",599.87,"N/A","2025-07-01","2026-06-30"]
[13,"Imperial","Licensed Physician","H0009",1564.89,15,"N/A","N/A","N/A","Recovery","Alcohol and/or drug services:  (hospital inpatient) Acute detoxification, 15 minutes","N/A",391.22,"N/A","2025-07-01","2026-06-30"]
[13,"Imperial","Licensed Physician","H0050",1564.89,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or Drug Services, brief intervention, 15 minutes","N/A",391.22,"N/A","2025-07-01","2026-06-30"]
[13,"Imperial","Licensed Physician","T2024",1564.89,15,"N/A","N/A","N/A","Assessment","Assessment substitute, 15 minutes","N/A",391.22,"N/A","2025-07-01","2026-06-30"]
[13,"Imperial","Licensed Psychiatric Technician","G0539",286.26,23,"N/A","N/A","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",109.73,"N/A","2025-07-01","2026-06-30"]
[13,"Imperial","Licensed Psychiatric Technician","G0542",286.26,15,"N/A","N/A","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",71.569999999999993,"N/A","2025-07-01","2026-06-30"]
[13,"Imperial","Licensed Psychiatric Technician","H2027",286.26,15,"N/A","N/A","N/A","Treatment Planning","Psychoeducational Service, 15 minutes","N/A",71.569999999999993,"N/A","2025-07-01","2026-06-30"]
[13,"Imperial","Licensed Vocational Nurse",90882,333.92,15,"N/A","N/A","N/A","Care Coordination","Environmental intervention for medical management purposes on a psychiatric patient's behalf with agencies, employers, or institutions, 15 minutes","N/A",83.48,"N/A","2025-07-01","2026-06-30"]
[13,"Imperial","Licensed Vocational Nurse",96203,333.92,15,"N/A","N/A","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",18.55,"N/A","2025-07-01","2026-06-30"]
[13,"Imperial","Licensed Vocational Nurse","H0003",333.92,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening. Laboratory analysis of specimens for presence of alcohol and/or drugs, 15 minutes","N/A",83.48,"N/A","2025-07-01","2026-06-30"]
[13,"Imperial","Licensed Vocational Nurse","H2017",333.92,15,"N/A","N/A","N/A","Recovery","Psychosocial rehabilitation services, 15 Minutes","N/A",83.48,"N/A","2025-07-01","2026-06-30"]
[13,"Imperial","Licensed Vocational Nurse","T1017",333.92,15,"N/A","N/A","N/A","Care Coordination","Targeted case management, 15 minutes","N/A",83.48,"N/A","2025-07-01","2026-06-30"]
[13,"Imperial","Medical Assistant","T1017",229.54,15,"N/A","N/A","N/A","Care Coordination","Targeted case management, 15 minutes","N/A",57.39,"N/A","2025-07-01","2026-06-30"]
[13,"Imperial","MFT/LPCC (Licensed, Waivered or Registered)",90849,407.27,84,"N/A","N/A","N/A","Family Therapy","Multiple-family group psychotherapy, 84 minutes","N/A",126.71,"N/A","2025-07-01","2026-06-30"]
[13,"Imperial","MFT/LPCC (Licensed, Waivered or Registered)",97550,407.27,23,"N/A","N/A","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",156.12,"N/A","2025-07-01","2026-06-30"]
[13,"Imperial","MFT/LPCC (Licensed, Waivered or Registered)","G0540",407.27,15,"N/A","N/A","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",101.82,"N/A","2025-07-01","2026-06-30"]
[13,"Imperial","MFT/LPCC (Licensed, Waivered or Registered)","H2014",407.27,15,"N/A","N/A","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",101.82,"N/A","2025-07-01","2026-06-30"]
[13,"Imperial","MFT/LPCC (Licensed, Waivered or Registered)","T1017",407.27,15,"N/A","N/A","N/A","Care Coordination","Targeted case management, 15 minutes","N/A",101.82,"N/A","2025-07-01","2026-06-30"]
[13,"Imperial","Nurse Practitioner",96131,778.18,60,"N/A","N/A","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",778.18,"N/A","2025-07-01","2026-06-30"]
[13,"Imperial","Nurse Practitioner",97550,778.18,23,"N/A","N/A","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",298.3,"N/A","2025-07-01","2026-06-30"]
[13,"Imperial","Nurse Practitioner",99212,778.18,15,"N/A","N/A","N/A","Assessment","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. 10-19 minutes total time on the date of the encounter.","N/A",194.55,"N/A","2025-07-01","2026-06-30"]
[13,"Imperial","Nurse Practitioner",99308,778.18,25,"N/A","N/A","N/A","Assessment","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. 20-29 minutes total time on the date of the encounter.","N/A",324.24,"N/A","2025-07-01","2026-06-30"]
[13,"Imperial","Nurse Practitioner",99416,778.18,30,"N/A","N/A","N/A","Assessment","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",389.09,"N/A","2025-07-01","2026-06-30"]
[13,"Imperial","Nurse Practitioner",99441,778.18,8,"N/A","N/A","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",103.76,"N/A","2025-07-01","2026-06-30"]
[13,"Imperial","Nurse Practitioner","H0004",778.18,15,"N/A","N/A","N/A","Individual Counseling","Behavioral health counseling and therapy, 15 minutes","N/A",194.55,"N/A","2025-07-01","2026-06-30"]
[13,"Imperial","Nurse Practitioner","H0050",778.18,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or Drug Services, brief intervention, 15 minutes","N/A",194.55,"N/A","2025-07-01","2026-06-30"]
[13,"Imperial","Nurse Practitioner","H2017",778.18,15,"N/A","N/A","N/A","Recovery","Psychosocial rehabilitation services, 15 Minutes","N/A",194.55,"N/A","2025-07-01","2026-06-30"]
[13,"Imperial","Nurse Practitioner","T1017",778.18,15,"N/A","N/A","N/A","Care Coordination","Targeted case management, 15 minutes","N/A",194.55,"N/A","2025-07-01","2026-06-30"]
[13,"Imperial","Occupational Therapist","G0543",542.14,45,"N/A","N/A","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",90.36,"N/A","2025-07-01","2026-06-30"]
[13,"Imperial","Occupational Therapist","H0050",542.14,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or Drug Services, brief intervention, 15 minutes","N/A",135.54,"N/A","2025-07-01","2026-06-30"]
[13,"Imperial","Occupational Therapist","T1017",542.14,15,"N/A","N/A","N/A","Care Coordination","Targeted case management, 15 minutes","N/A",135.54,"N/A","2025-07-01","2026-06-30"]
[13,"Imperial","Other Qualified Practitioner","H2027",306.41000000000003,15,"N/A","N/A","N/A","Treatment Planning","Psychoeducational Service, 15 minutes","N/A",76.599999999999994,"N/A","2025-07-01","2026-06-30"]
[13,"Imperial","Other Qualified Practitioner","T1017",306.41000000000003,15,"N/A","N/A","N/A","Care Coordination","Targeted case management, 15 minutes","N/A",76.599999999999994,"N/A","2025-07-01","2026-06-30"]
[13,"Imperial","Physician Assistant",90887,701.84,50,"N/A","N/A","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",584.87,"N/A","2025-07-01","2026-06-30"]
[13,"Imperial","Physician Assistant",99204,701.84,52,"N/A","N/A","N/A","Assessment","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. 45-59 minutes total time on the date of the encounter.","N/A",608.26,"N/A","2025-07-01","2026-06-30"]
[13,"Imperial","Physician Assistant",99239,701.84,60,"N/A","N/A","N/A","Discharge","Hospital inpatient or observation discharge day management; 30-1440 minutes on the date of the encounter","N/A",701.84,"N/A","2025-07-01","2026-06-30"]
[13,"Imperial","Physician Assistant",99309,701.84,37,"N/A","N/A","N/A","Assessment","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. 30-44 minutes total time on the date of the encounter.\t","N/A",432.8,"N/A","2025-07-01","2026-06-30"]
[13,"Imperial","Physician Assistant",99424,701.84,30,"N/A","N/A","N/A","Care Coordination","Principal care management services, for a single high-risk disease, first 30 minutes provided personally by a physician or other qualified health care professional, per calendar month. At least 30 minutes of service must be provided before 1 unit of this code can be reported.","N/A",350.92,"N/A","2025-07-01","2026-06-30"]
[13,"Imperial","Physician Assistant","G0316",701.84,15,"N/A","N/A","N/A","Assessment","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",175.46,"N/A","2025-07-01","2026-06-30"]
[13,"Imperial","Physician Assistant","G2011",701.84,10,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 5-14 Minutes","N/A",116.97,"N/A","2025-07-01","2026-06-30"]
[13,"Imperial","Physician Assistant","H0034",701.84,15,"N/A","N/A","N/A","Medication Services","Medication training and support, 15 minutes","N/A",175.46,"N/A","2025-07-01","2026-06-30"]
[13,"Imperial","Physician Assistant","T2021",701.84,15,"N/A","HQ","N/A","Family Therapy","Therapy substitute, 15 minutes","N/A",38.99,"N/A","2025-07-01","2026-06-30"]
[13,"Imperial","Psychologist (Licensed or Waivered)",90846,629.35,50,"N/A","N/A","N/A","Family Therapy","Family Psychotherapy (Without the Patient Present), 50 minutes","N/A",524.46,"N/A","2025-07-01","2026-06-30"]
[13,"Imperial","Psychologist (Licensed or Waivered)",96170,629.35,30,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; initial 30 minutes","N/A",314.68,"N/A","2025-07-01","2026-06-30"]
[13,"Imperial","Psychologist (Licensed or Waivered)","G0543",629.35,45,"N/A","N/A","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",104.89,"N/A","2025-07-01","2026-06-30"]
[13,"Imperial","Psychologist (Licensed or Waivered)","H0007",629.35,15,"N/A","N/A","N/A","Crisis Intervention","Alcohol and/or drug services; crisis intervention (outpatient), 15 minutes","N/A",157.34,"N/A","2025-07-01","2026-06-30"]
[13,"Imperial","Psychologist (Licensed or Waivered)","T1013",629.35,"N/A","N/A","N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"N/A","2025-07-01","2026-06-30"]
[13,"Imperial","Registered Nurse",97552,635.64,45,"N/A","N/A","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",105.94,"N/A","2025-07-01","2026-06-30"]
[13,"Imperial","Registered Nurse","G0539",635.64,23,"N/A","N/A","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",243.66,"N/A","2025-07-01","2026-06-30"]
[13,"Imperial","Registered Nurse","H0001",635.64,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug assessment, 15 minutes","N/A",158.91,"N/A","2025-07-01","2026-06-30"]
[13,"Imperial","Registered Nurse","T1006",635.64,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or substance abuse services, family/couple counseling, 15 minutes","N/A",158.91,"N/A","2025-07-01","2026-06-30"]
[13,"Imperial","Registered Pharmacist",97551,749.07,15,"N/A","N/A","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",187.27,"N/A","2025-07-01","2026-06-30"]
[13,"Imperial","Registered Pharmacist","G0540",749.07,15,"N/A","N/A","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",187.27,"N/A","2025-07-01","2026-06-30"]
[13,"Imperial","Registered Pharmacist","H2017",749.07,15,"N/A","N/A","N/A","Recovery","Psychosocial rehabilitation services, 15 Minutes","N/A",187.27,"N/A","2025-07-01","2026-06-30"]
[15,"Kern","Certified AOD Counselor","H0001",284.33999999999997,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug assessment, 15 minutes","N/A",71.09,"N/A","2025-07-01","2026-06-30"]
[15,"Kern","Certified AOD Counselor","H2014",284.33999999999997,15,"N/A","N/A","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",71.09,"N/A","2025-07-01","2026-06-30"]
[15,"Kern","Certified AOD Counselor","T1013",284.33999999999997,"N/A","N/A","N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"N/A","2025-07-01","2026-06-30"]
[15,"Kern","LCSW (Licensed, Waivered or Registered)",96160,342.79,15,"N/A","N/A","N/A","Care Coordination","Administration of patient-focused health risk assessment instrument (eg, health hazard appraisal) with scoring and documentation, per standardized instrument, 15 minutes","N/A",85.7,"N/A","2025-07-01","2026-06-30"]
[15,"Kern","LCSW (Licensed, Waivered or Registered)",97551,342.79,15,"N/A","N/A","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",85.7,"N/A","2025-07-01","2026-06-30"]
[15,"Kern","LCSW (Licensed, Waivered or Registered)","G0540",342.79,15,"N/A","N/A","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",85.7,"N/A","2025-07-01","2026-06-30"]
[15,"Kern","LCSW (Licensed, Waivered or Registered)","H2021",342.79,15,"N/A","N/A","N/A","Treatment Planning","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",85.7,"N/A","2025-07-01","2026-06-30"]
[15,"Kern","Licensed Physician",90846,1317.15,50,"N/A","N/A","N/A","Family Therapy","Family Psychotherapy (Without the Patient Present), 50 minutes","N/A",1097.6300000000001,"N/A","2025-07-01","2026-06-30"]
[15,"Kern","Licensed Physician",90865,1317.15,90,"N/A","N/A","N/A","Assessment","Nacrosynthesis for psychiatric diagnostic and therapeutic purposes (eg, sodium amobarbital (Amytal) interview), 90 minutes","N/A",1975.73,"N/A","2025-07-01","2026-06-30"]
[15,"Kern","Licensed Physician",99204,1317.15,52,"N/A","N/A","N/A","Assessment","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. 45-59 minutes total time on the date of the encounter.","N/A",1141.53,"N/A","2025-07-01","2026-06-30"]
[15,"Kern","Licensed Physician",99239,1317.15,60,"N/A","N/A","N/A","Discharge","Hospital inpatient or observation discharge day management; 30-1440 minutes on the date of the encounter","N/A",1317.15,"N/A","2025-07-01","2026-06-30"]
[15,"Kern","Licensed Physician",99309,1317.15,37,"N/A","N/A","N/A","Assessment","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. 30-44 minutes total time on the date of the encounter.\t","N/A",812.24,"N/A","2025-07-01","2026-06-30"]
[15,"Kern","Licensed Physician",99442,1317.15,16,"N/A","N/A","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",351.24,"N/A","2025-07-01","2026-06-30"]
[15,"Kern","Licensed Physician","G0396",1317.15,23,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 15-30 Minutes","N/A",504.91,"N/A","2025-07-01","2026-06-30"]
[15,"Kern","Licensed Physician","G0543",1317.15,45,"N/A","N/A","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",219.53,"N/A","2025-07-01","2026-06-30"]
[15,"Kern","Licensed Physician","H0034",1317.15,15,"N/A","HQ","N/A","Medication Services","Medication training and support, 15 minutes","N/A",73.180000000000007,"N/A","2025-07-01","2026-06-30"]
[15,"Kern","Licensed Physician","T1017",1317.15,15,"N/A","N/A","N/A","Care Coordination","Targeted case management, 15 minutes","N/A",329.29,"N/A","2025-07-01","2026-06-30"]
[15,"Kern","Licensed Psychiatric Technician",90882,240.94,15,"N/A","N/A","N/A","Care Coordination","Environmental intervention for medical management purposes on a psychiatric patient's behalf with agencies, employers, or institutions, 15 minutes","N/A",60.24,"N/A","2025-07-01","2026-06-30"]
[15,"Kern","Licensed Psychiatric Technician","G0542",240.94,15,"N/A","N/A","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",60.24,"N/A","2025-07-01","2026-06-30"]
[15,"Kern","Licensed Psychiatric Technician","H0050",240.94,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or Drug Services, brief intervention, 15 minutes","N/A",60.24,"N/A","2025-07-01","2026-06-30"]
[15,"Kern","Licensed Psychiatric Technician","H2017",240.94,15,"N/A","N/A","N/A","Recovery","Psychosocial rehabilitation services, 15 Minutes","N/A",60.24,"N/A","2025-07-01","2026-06-30"]
[15,"Kern","Licensed Vocational Nurse",96160,281.06,15,"N/A","N/A","N/A","Care Coordination","Administration of patient-focused health risk assessment instrument (eg, health hazard appraisal) with scoring and documentation, per standardized instrument, 15 minutes","N/A",70.27,"N/A","2025-07-01","2026-06-30"]
[15,"Kern","Licensed Vocational Nurse","H0003",281.06,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening. Laboratory analysis of specimens for presence of alcohol and/or drugs, 15 minutes","N/A",70.27,"N/A","2025-07-01","2026-06-30"]
[15,"Kern","Licensed Vocational Nurse","H1000",281.06,15,"N/A","N/A","N/A","Assessment","Prenatal Care, at risk assessment, 15 minutes ","N/A",70.27,"N/A","2025-07-01","2026-06-30"]
[15,"Kern","Medical Assistant",90882,193.2,15,"N/A","N/A","N/A","Care Coordination","Environmental intervention for medical management purposes on a psychiatric patient's behalf with agencies, employers, or institutions, 15 minutes","N/A",48.3,"N/A","2025-07-01","2026-06-30"]
[15,"Kern","Medical Assistant","H0049",193.2,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening, 15 minutes","N/A",48.3,"N/A","2025-07-01","2026-06-30"]
[15,"Kern","MFT/LPCC (Licensed, Waivered or Registered)",90785,342.79,"N/A","N/A","N/A","N/A","Supplemental","Interactive complexity. There is no assigned time for this code. ","N/A",18.89,"N/A","2025-07-01","2026-06-30"]
[15,"Kern","MFT/LPCC (Licensed, Waivered or Registered)",90885,342.79,60,"N/A","N/A","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",342.79,"N/A","2025-07-01","2026-06-30"]
[15,"Kern","MFT/LPCC (Licensed, Waivered or Registered)","G0542",342.79,15,"N/A","N/A","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",85.7,"N/A","2025-07-01","2026-06-30"]
[15,"Kern","MFT/LPCC (Licensed, Waivered or Registered)","H0007",342.79,15,"N/A","N/A","N/A","Crisis Intervention","Alcohol and/or drug services; crisis intervention (outpatient), 15 minutes","N/A",85.7,"N/A","2025-07-01","2026-06-30"]
[15,"Kern","MFT/LPCC (Licensed, Waivered or Registered)","T1017",342.79,15,"N/A","N/A","N/A","Care Coordination","Targeted case management, 15 minutes","N/A",85.7,"N/A","2025-07-01","2026-06-30"]
[15,"Kern","Nurse Practitioner",90885,654.99,60,"N/A","N/A","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",654.99,"N/A","2025-07-01","2026-06-30"]
[15,"Kern","Nurse Practitioner",96170,654.99,30,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; initial 30 minutes","N/A",327.5,"N/A","2025-07-01","2026-06-30"]
[15,"Kern","Nurse Practitioner",97552,654.99,45,"N/A","N/A","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",109.17,"N/A","2025-07-01","2026-06-30"]
[15,"Kern","Nurse Practitioner",99308,654.99,25,"N/A","N/A","N/A","Assessment","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. 20-29 minutes total time on the date of the encounter.","N/A",272.91000000000003,"N/A","2025-07-01","2026-06-30"]
[15,"Kern","Nurse Practitioner",99341,654.99,22,"N/A","N/A","N/A","Assessment","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. 15-29 minutes total time on the date of the encounter.","N/A",240.16,"N/A","2025-07-01","2026-06-30"]
[15,"Kern","Nurse Practitioner",99418,654.99,15,"N/A","N/A","N/A","Assessment","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 (This code does not follow the midpoint rule. A full 15 minutes must be met before one unit of 99418 can be claimed).","N/A",163.75,"N/A","2025-07-01","2026-06-30"]
[15,"Kern","Nurse Practitioner","G0543",654.99,45,"N/A","N/A","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",109.17,"N/A","2025-07-01","2026-06-30"]
[15,"Kern","Nurse Practitioner","H0007",654.99,15,"N/A","N/A","N/A","Crisis Intervention","Alcohol and/or drug services; crisis intervention (outpatient), 15 minutes","N/A",163.75,"N/A","2025-07-01","2026-06-30"]
[15,"Kern","Nurse Practitioner","H2014",654.99,15,"N/A","HQ","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",36.39,"N/A","2025-07-01","2026-06-30"]
[15,"Kern","Occupational Therapist",90882,456.31,15,"N/A","N/A","N/A","Care Coordination","Environmental intervention for medical management purposes on a psychiatric patient's behalf with agencies, employers, or institutions, 15 minutes","N/A",114.08,"N/A","2025-07-01","2026-06-30"]
[15,"Kern","Occupational Therapist",97551,456.31,15,"N/A","N/A","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",114.08,"N/A","2025-07-01","2026-06-30"]
[15,"Kern","Occupational Therapist","H0004",456.31,15,"N/A","N/A","N/A","Individual Counseling","Behavioral health counseling and therapy, 15 minutes","N/A",114.08,"N/A","2025-07-01","2026-06-30"]
[15,"Kern","Other Qualified Practitioner",90882,257.89999999999998,15,"N/A","N/A","N/A","Care Coordination","Environmental intervention for medical management purposes on a psychiatric patient's behalf with agencies, employers, or institutions, 15 minutes","N/A",64.48,"N/A","2025-07-01","2026-06-30"]
[15,"Kern","Other Qualified Practitioner","H2015",257.89999999999998,15,"N/A","N/A","N/A","Recovery","Comprehensive community support services, 15 minutes","N/A",64.48,"N/A","2025-07-01","2026-06-30"]
[15,"Kern","Other Qualified Practitioner","T1013",257.89999999999998,"N/A","N/A","N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"N/A","2025-07-01","2026-06-30"]
[15,"Kern","Physician Assistant",96130,590.74,60,"N/A","N/A","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",590.74,"N/A","2025-07-01","2026-06-30"]
[15,"Kern","Physician Assistant",98967,590.74,16,"N/A","N/A","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",157.53,"N/A","2025-07-01","2026-06-30"]
[15,"Kern","Physician Assistant",99212,590.74,15,"N/A","N/A","N/A","Assessment","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. 10-19 minutes total time on the date of the encounter.","N/A",147.69,"N/A","2025-07-01","2026-06-30"]
[15,"Kern","Physician Assistant",99305,590.74,42,"N/A","N/A","N/A","Assessment","\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. 35-49 minutes total time on the date of the encounter.","N/A",413.52,"N/A","2025-07-01","2026-06-30"]
[15,"Kern","Physician Assistant",99415,590.74,60,"N/A","N/A","N/A","Assessment","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",590.74,"N/A","2025-07-01","2026-06-30"]
[15,"Kern","Physician Assistant",99437,590.74,30,"N/A","N/A","N/A","Care Coordination","Chronic care management services, each additional 30 minutes by a physician or other qualified health care professional, per calendar month. Code 99437 is reported in conjunction with 99491, when at least an additional 30 minutes of service time is provided beyond 99491.","N/A",295.37,"N/A","2025-07-01","2026-06-30"]
[15,"Kern","Physician Assistant","G0539",590.74,23,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[15,"Kern","Physician Assistant","H0050",590.74,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or Drug Services, brief intervention, 15 minutes","N/A",147.69,"N/A","2025-07-01","2026-06-30"]
[15,"Kern","Physician Assistant","H2017",590.74,15,"N/A","N/A","N/A","Recovery","Psychosocial rehabilitation services, 15 Minutes","N/A",147.69,"N/A","2025-07-01","2026-06-30"]
[15,"Kern","Physician Assistant","T2021",590.74,15,"N/A",22,"N/A","Family Therapy","Therapy substitute, 15 minutes","N/A",150.69999999999999,"N/A","2025-07-01","2026-06-30"]
[15,"Kern","Psychologist (Licensed or Waivered)",96203,529.72,15,"N/A","N/A","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",29.43,"N/A","2025-07-01","2026-06-30"]
[15,"Kern","Psychologist (Licensed or Waivered)","G0397",529.72,60,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 31-1440 Minutes","N/A",529.72,"N/A","2025-07-01","2026-06-30"]
[15,"Kern","Psychologist (Licensed or Waivered)","H0003",529.72,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening. Laboratory analysis of specimens for presence of alcohol and/or drugs, 15 minutes","N/A",132.43,"N/A","2025-07-01","2026-06-30"]
[15,"Kern","Psychologist (Licensed or Waivered)","T2021",529.72,15,"N/A","N/A","N/A","Family Therapy","Therapy substitute, 15 minutes","N/A",132.43,"N/A","2025-07-01","2026-06-30"]
[15,"Kern","Registered Nurse",96202,535.01,60,"N/A","N/A","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",118.89,"N/A","2025-07-01","2026-06-30"]
[15,"Kern","Registered Nurse",99239,535.01,60,"N/A","N/A","N/A","Discharge","Hospital inpatient or observation discharge day management; 30-1440 minutes on the date of the encounter","N/A",535.01,"N/A","2025-07-01","2026-06-30"]
[15,"Kern","Registered Nurse","G0541",535.01,23,"N/A","N/A","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",205.09,"N/A","2025-07-01","2026-06-30"]
[15,"Kern","Registered Nurse","H1000",535.01,15,"N/A","N/A","N/A","Assessment","Prenatal Care, at risk assessment, 15 minutes ","N/A",133.75,"N/A","2025-07-01","2026-06-30"]
[15,"Kern","Registered Pharmacist",90785,630.49,"N/A","N/A","N/A","N/A","Supplemental","Interactive complexity. There is no assigned time for this code. ","N/A",18.89,"N/A","2025-07-01","2026-06-30"]
[15,"Kern","Registered Pharmacist",99368,630.49,60,"N/A","N/A","N/A","Care Coordination","Medical team conference with interdisciplinary team of health care professionals, patient and/or family not present, 30-1440 minutes; participation by nonphysician qualified health care professional","N/A",630.49,"N/A","2025-07-01","2026-06-30"]
[15,"Kern","Registered Pharmacist","H0049",630.49,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening, 15 minutes","N/A",157.62,"N/A","2025-07-01","2026-06-30"]
[15,"Kern","Registered Pharmacist","H2035",630.49,60,"N/A","N/A","N/A","Recovery","Alcohol and/or other drug treatment program, per hour ","N/A",630.49,"N/A","2025-07-01","2026-06-30"]
[17,"Lake","Certified AOD Counselor","H0005",492.13,15,"N/A","N/A","N/A","Group Counseling","Alcohol and/or drug services; group counseling by a clinician, 15 minutes ","N/A",27.34,"N/A","2025-07-01","2026-06-30"]
[17,"Lake","Certified AOD Counselor","H2017",492.13,15,"N/A","N/A","N/A","Recovery","Psychosocial rehabilitation services, 15 Minutes","N/A",123.03,"N/A","2025-07-01","2026-06-30"]
[17,"Lake","LCSW (Licensed, Waivered or Registered)",90882,593.30999999999995,15,"N/A","N/A","N/A","Care Coordination","Environmental intervention for medical management purposes on a psychiatric patient's behalf with agencies, employers, or institutions, 15 minutes","N/A",148.33000000000001,"N/A","2025-07-01","2026-06-30"]
[17,"Lake","LCSW (Licensed, Waivered or Registered)",96171,593.30999999999995,15,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; each additional 15 minutes","N/A",148.33000000000001,"N/A","2025-07-01","2026-06-30"]
[17,"Lake","LCSW (Licensed, Waivered or Registered)","G0543",593.30999999999995,45,"N/A","N/A","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",98.89,"N/A","2025-07-01","2026-06-30"]
[17,"Lake","LCSW (Licensed, Waivered or Registered)","H2014",593.30999999999995,15,"N/A","N/A","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",148.33000000000001,"N/A","2025-07-01","2026-06-30"]
[17,"Lake","LCSW (Licensed, Waivered or Registered)","H2035",593.30999999999995,60,"N/A","N/A","N/A","Recovery","Alcohol and/or other drug treatment program, per hour ","N/A",593.30999999999995,"N/A","2025-07-01","2026-06-30"]
[17,"Lake","Licensed Physician",90792,2279.73,60,"N/A","N/A","N/A","Assessment","Psychiatric diagnostic evaluation with medical services, 60 minutes","N/A",2279.73,"N/A","2025-07-01","2026-06-30"]
[17,"Lake","Licensed Physician",97551,2279.73,15,"N/A","N/A","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",569.92999999999995,"N/A","2025-07-01","2026-06-30"]
[17,"Lake","Licensed Physician",99212,2279.73,15,"N/A","N/A","N/A","Assessment","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. 10-19 minutes total time on the date of the encounter.","N/A",569.92999999999995,"N/A","2025-07-01","2026-06-30"]
[17,"Lake","Licensed Physician",99305,2279.73,42,"N/A","N/A","N/A","Assessment","\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. 35-49 minutes total time on the date of the encounter.","N/A",1595.81,"N/A","2025-07-01","2026-06-30"]
[17,"Lake","Licensed Physician",99415,2279.73,60,"N/A","N/A","N/A","Assessment","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",2279.73,"N/A","2025-07-01","2026-06-30"]
[17,"Lake","Licensed Physician",99437,2279.73,30,"N/A","N/A","N/A","Care Coordination","Chronic care management services, each additional 30 minutes by a physician or other qualified health care professional, per calendar month. Code 99437 is reported in conjunction with 99491, when at least an additional 30 minutes of service time is provided beyond 99491.","N/A",1139.8699999999999,"N/A","2025-07-01","2026-06-30"]
[17,"Lake","Licensed Physician","H0001",2279.73,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug assessment, 15 minutes","N/A",569.92999999999995,"N/A","2025-07-01","2026-06-30"]
[17,"Lake","Licensed Physician","H0049",2279.73,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening, 15 minutes","N/A",569.92999999999995,"N/A","2025-07-01","2026-06-30"]
[17,"Lake","Licensed Physician","H2035",2279.73,60,"N/A","N/A","N/A","Recovery","Alcohol and/or other drug treatment program, per hour ","N/A",2279.73,"N/A","2025-07-01","2026-06-30"]
[17,"Lake","Licensed Physician","T2021",2279.73,15,"N/A","N/A","N/A","Family Therapy","Therapy substitute, 15 minutes","N/A",569.92999999999995,"N/A","2025-07-01","2026-06-30"]
[17,"Lake","Licensed Psychiatric Technician","G0540",417.02,15,"N/A","N/A","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",104.26,"N/A","2025-07-01","2026-06-30"]
[17,"Lake","Licensed Psychiatric Technician","H0033",417.02,15,"N/A","N/A","N/A","Medication Services","Medication administration, direct observation, 15 minutes","N/A",104.26,"N/A","2025-07-01","2026-06-30"]
[17,"Lake","Licensed Psychiatric Technician","T1007",417.02,15,"N/A","N/A","N/A","Treatment Planning","Alcohol and/or substance abuse services, treatment plan development and/or modification, 15 minutes","N/A",104.26,"N/A","2025-07-01","2026-06-30"]
[17,"Lake","Licensed Vocational Nurse",96202,486.45,60,"N/A","N/A","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",108.1,"N/A","2025-07-01","2026-06-30"]
[17,"Lake","Licensed Vocational Nurse","G0542",486.45,15,"N/A","N/A","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",121.61,"N/A","2025-07-01","2026-06-30"]
[17,"Lake","Licensed Vocational Nurse","H0008",486.45,15,"N/A","N/A","N/A","Recovery","Alcohol and/or drug services: (hospital inpatient) Subacute detoxification, 15 minutes","N/A",121.61,"N/A","2025-07-01","2026-06-30"]
[17,"Lake","Licensed Vocational Nurse","H2014",486.45,15,"N/A","N/A","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",121.61,"N/A","2025-07-01","2026-06-30"]
[17,"Lake","Medical Assistant",96171,334.4,15,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; each additional 15 minutes","N/A",83.6,"N/A","2025-07-01","2026-06-30"]
[17,"Lake","Medical Assistant","H2014",334.4,15,"N/A","N/A","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",83.6,"N/A","2025-07-01","2026-06-30"]
[17,"Lake","MFT/LPCC (Licensed, Waivered or Registered)",90846,593.30999999999995,50,"N/A","N/A","N/A","Family Therapy","Family Psychotherapy (Without the Patient Present), 50 minutes","N/A",494.43,"N/A","2025-07-01","2026-06-30"]
[17,"Lake","MFT/LPCC (Licensed, Waivered or Registered)",98968,593.30999999999995,26,"N/A","N/A","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",257.10000000000002,"N/A","2025-07-01","2026-06-30"]
[17,"Lake","MFT/LPCC (Licensed, Waivered or Registered)","G2011",593.30999999999995,10,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 5-14 Minutes","N/A",98.89,"N/A","2025-07-01","2026-06-30"]
[17,"Lake","MFT/LPCC (Licensed, Waivered or Registered)","H0050",593.30999999999995,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or Drug Services, brief intervention, 15 minutes","N/A",148.33000000000001,"N/A","2025-07-01","2026-06-30"]
[17,"Lake","MFT/LPCC (Licensed, Waivered or Registered)","T2021",593.30999999999995,15,"N/A",22,"N/A","Family Therapy","Therapy substitute, 15 minutes","N/A",151.34,"N/A","2025-07-01","2026-06-30"]
[17,"Lake","Nurse Practitioner",90889,1133.6500000000001,15,"N/A","N/A","N/A","Care Coordination","Preparation of report of patient's psychiatric status, history, treatment, or progress (other than for legal or consultative purposes) for other individuals, agencies, or insurance carriers, 15 minutes","N/A",283.41000000000003,"N/A","2025-07-01","2026-06-30"]
[17,"Lake","Nurse Practitioner",96202,1133.6500000000001,60,"N/A","N/A","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",251.92,"N/A","2025-07-01","2026-06-30"]
[17,"Lake","Nurse Practitioner",99235,1133.6500000000001,77,"N/A","N/A","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. 70-84 minutes total time on the date of the encounter.","N/A",1454.85,"N/A","2025-07-01","2026-06-30"]
[17,"Lake","Nurse Practitioner",99310,1133.6500000000001,52,"N/A","N/A","N/A","Assessment","\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. 45-59 minutes total time on the date of the encounter.","N/A",982.5,"N/A","2025-07-01","2026-06-30"]
[17,"Lake","Nurse Practitioner",99348,1133.6500000000001,35,"N/A","N/A","N/A","Assessment","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. 30-39 minutes total time on the date of the encounter.","N/A",661.3,"N/A","2025-07-01","2026-06-30"]
[17,"Lake","Nurse Practitioner","G0539",1133.6500000000001,23,"N/A","N/A","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",434.57,"N/A","2025-07-01","2026-06-30"]
[17,"Lake","Nurse Practitioner","H0001",1133.6500000000001,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug assessment, 15 minutes","N/A",283.41000000000003,"N/A","2025-07-01","2026-06-30"]
[17,"Lake","Nurse Practitioner","H0009",1133.6500000000001,15,"N/A","N/A","N/A","Recovery","Alcohol and/or drug services:  (hospital inpatient) Acute detoxification, 15 minutes","N/A",283.41000000000003,"N/A","2025-07-01","2026-06-30"]
[17,"Lake","Nurse Practitioner","T2021",1133.6500000000001,15,"N/A","N/A","N/A","Family Therapy","Therapy substitute, 15 minutes","N/A",283.41000000000003,"N/A","2025-07-01","2026-06-30"]
[17,"Lake","Occupational Therapist",90889,789.78,15,"N/A","N/A","N/A","Care Coordination","Preparation of report of patient's psychiatric status, history, treatment, or progress (other than for legal or consultative purposes) for other individuals, agencies, or insurance carriers, 15 minutes","N/A",197.45,"N/A","2025-07-01","2026-06-30"]
[17,"Lake","Occupational Therapist",97550,789.78,23,"N/A","N/A","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",302.75,"N/A","2025-07-01","2026-06-30"]
[17,"Lake","Occupational Therapist","T1013",789.78,"N/A","N/A","N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"N/A","2025-07-01","2026-06-30"]
[17,"Lake","Other Qualified Practitioner","G0397",446.38,60,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 31-1440 Minutes","N/A",446.38,"N/A","2025-07-01","2026-06-30"]
[17,"Lake","Other Qualified Practitioner","H2017",446.38,15,"N/A","N/A","N/A","Recovery","Psychosocial rehabilitation services, 15 Minutes","N/A",111.6,"N/A","2025-07-01","2026-06-30"]
[17,"Lake","Physician Assistant",90882,1022.45,15,"N/A","N/A","N/A","Care Coordination","Environmental intervention for medical management purposes on a psychiatric patient's behalf with agencies, employers, or institutions, 15 minutes","N/A",255.61,"N/A","2025-07-01","2026-06-30"]
[17,"Lake","Physician Assistant",96160,1022.45,15,"N/A","N/A","N/A","Care Coordination","Administration of patient-focused health risk assessment instrument (eg, health hazard appraisal) with scoring and documentation, per standardized instrument, 15 minutes","N/A",255.61,"N/A","2025-07-01","2026-06-30"]
[17,"Lake","Physician Assistant",99203,1022.45,37,"N/A","N/A","N/A","Assessment","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. 30-44 minutes total time on the date of the encounter.","N/A",630.51,"N/A","2025-07-01","2026-06-30"]
[17,"Lake","Physician Assistant",99308,1022.45,25,"N/A","N/A","N/A","Assessment","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. 20-29 minutes total time on the date of the encounter.","N/A",426.02,"N/A","2025-07-01","2026-06-30"]
[17,"Lake","Physician Assistant",99350,1022.45,67,"N/A","N/A","N/A","Assessment","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. 60-74 minutes total time on the date of the encounter.","N/A",1141.74,"N/A","2025-07-01","2026-06-30"]
[17,"Lake","Physician Assistant",99417,1022.45,15,"N/A","N/A","N/A","Assessment","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 (This code does not follow the midpoint rule. A  full 15 minutes must be met before one unit of 99417 can be claimed).","N/A",255.61,"N/A","2025-07-01","2026-06-30"]
[17,"Lake","Physician Assistant","G0542",1022.45,15,"N/A","N/A","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",255.61,"N/A","2025-07-01","2026-06-30"]
[17,"Lake","Physician Assistant","H0033",1022.45,15,"N/A","N/A","N/A","Medication Services","Medication administration, direct observation, 15 minutes","N/A",255.61,"N/A","2025-07-01","2026-06-30"]
[17,"Lake","Physician Assistant","H2017",1022.45,15,"N/A","HQ","N/A","Recovery","Psychosocial rehabilitation services, 15 Minutes","N/A",56.8,"N/A","2025-07-01","2026-06-30"]
[17,"Lake","Psychologist (Licensed or Waivered)",90791,916.83,60,"N/A","N/A","N/A","Assessment","Psychiatric diagnostic evaluation, 60 minutes","N/A",916.83,"N/A","2025-07-01","2026-06-30"]
[17,"Lake","Psychologist (Licensed or Waivered)",96160,916.83,15,"N/A","N/A","N/A","Care Coordination","Administration of patient-focused health risk assessment instrument (eg, health hazard appraisal) with scoring and documentation, per standardized instrument, 15 minutes","N/A",229.21,"N/A","2025-07-01","2026-06-30"]
[17,"Lake","Psychologist (Licensed or Waivered)",97551,916.83,15,"N/A","N/A","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",229.21,"N/A","2025-07-01","2026-06-30"]
[17,"Lake","Psychologist (Licensed or Waivered)","G0540",916.83,15,"N/A","N/A","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",229.21,"N/A","2025-07-01","2026-06-30"]
[17,"Lake","Psychologist (Licensed or Waivered)","H0007",916.83,15,"N/A","N/A","N/A","Crisis Intervention","Alcohol and/or drug services; crisis intervention (outpatient), 15 minutes","N/A",229.21,"N/A","2025-07-01","2026-06-30"]
[17,"Lake","Psychologist (Licensed or Waivered)","T2024",916.83,15,"N/A","N/A","N/A","Assessment","Assessment substitute, 15 minutes","N/A",229.21,"N/A","2025-07-01","2026-06-30"]
[17,"Lake","Registered Nurse",97550,925.99,23,"N/A","N/A","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",354.96,"N/A","2025-07-01","2026-06-30"]
[17,"Lake","Registered Nurse","G2011",925.99,10,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 5-14 Minutes","N/A",154.33000000000001,"N/A","2025-07-01","2026-06-30"]
[17,"Lake","Registered Nurse","H0034",925.99,15,"N/A","N/A","N/A","Medication Services","Medication training and support, 15 minutes","N/A",231.5,"N/A","2025-07-01","2026-06-30"]
[17,"Lake","Registered Nurse","H2014",925.99,15,"N/A","N/A","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",231.5,"N/A","2025-07-01","2026-06-30"]
[17,"Lake","Registered Pharmacist",96203,1091.25,15,"N/A","N/A","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",60.63,"N/A","2025-07-01","2026-06-30"]
[17,"Lake","Registered Pharmacist","H0033",1091.25,15,"N/A","N/A","N/A","Medication Services","Medication administration, direct observation, 15 minutes","N/A",272.81,"N/A","2025-07-01","2026-06-30"]
[17,"Lake","Registered Pharmacist","H1000",1091.25,15,"N/A","N/A","N/A","Assessment","Prenatal Care, at risk assessment, 15 minutes ","N/A",272.81,"N/A","2025-07-01","2026-06-30"]
[19,"Los Angeles","Certified AOD Counselor","H0050",361.15,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or Drug Services, brief intervention, 15 minutes","N/A",90.29,"N/A","2025-07-01","2026-06-30"]
[19,"Los Angeles","Certified AOD Counselor","T1006",361.15,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or substance abuse services, family/couple counseling, 15 minutes","N/A",90.29,"N/A","2025-07-01","2026-06-30"]
[19,"Los Angeles","Community Health Worker",98961,335.76,30,"N/A","N/A","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",55.96,"N/A","2025-07-01","2026-06-30"]
[19,"Los Angeles","LCSW (Licensed, Waivered or Registered)",96203,435.39,15,"N/A","N/A","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",24.19,"N/A","2025-07-01","2026-06-30"]
[19,"Los Angeles","LCSW (Licensed, Waivered or Registered)","G0539",435.39,23,"N/A","N/A","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",166.9,"N/A","2025-07-01","2026-06-30"]
[19,"Los Angeles","LCSW (Licensed, Waivered or Registered)","H0001",435.39,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug assessment, 15 minutes","N/A",108.85,"N/A","2025-07-01","2026-06-30"]
[19,"Los Angeles","LCSW (Licensed, Waivered or Registered)","H2017",435.39,15,"N/A","HQ","N/A","Recovery","Psychosocial rehabilitation services, 15 Minutes","N/A",24.19,"N/A","2025-07-01","2026-06-30"]
[19,"Los Angeles","Licensed Physician",90847,1672.96,50,"N/A","N/A","N/A","Family Therapy","Family Psychotherapy (Conjoint psychotheraphy with Patient Present), 50 minutes","N/A",1394.13,"N/A","2025-07-01","2026-06-30"]
[19,"Los Angeles","Licensed Physician",96203,1672.96,15,"N/A","N/A","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",92.94,"N/A","2025-07-01","2026-06-30"]
[19,"Los Angeles","Licensed Physician",99202,1672.96,22,"N/A","N/A","N/A","Assessment","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. 15-29 minutes total time on the date of the encounter.","N/A",613.41999999999996,"N/A","2025-07-01","2026-06-30"]
[19,"Los Angeles","Licensed Physician",99308,1672.96,25,"N/A","N/A","N/A","Assessment","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. 20-29 minutes total time on the date of the encounter.","N/A",697.07,"N/A","2025-07-01","2026-06-30"]
[19,"Los Angeles","Licensed Physician",99350,1672.96,67,"N/A","N/A","N/A","Assessment","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. 60-74 minutes total time on the date of the encounter.","N/A",1868.14,"N/A","2025-07-01","2026-06-30"]
[19,"Los Angeles","Licensed Physician",99417,1672.96,15,"N/A","N/A","N/A","Assessment","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 (This code does not follow the midpoint rule. A  full 15 minutes must be met before one unit of 99417 can be claimed).","N/A",418.24,"N/A","2025-07-01","2026-06-30"]
[19,"Los Angeles","Licensed Physician","G0541",1672.96,23,"N/A","N/A","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",641.29999999999995,"N/A","2025-07-01","2026-06-30"]
[19,"Los Angeles","Licensed Physician","H0005",1672.96,15,"N/A","N/A","N/A","Group Counseling","Alcohol and/or drug services; group counseling by a clinician, 15 minutes ","N/A",92.94,"N/A","2025-07-01","2026-06-30"]
[19,"Los Angeles","Licensed Physician","H1000",1672.96,15,"N/A","N/A","N/A","Assessment","Prenatal Care, at risk assessment, 15 minutes ","N/A",418.24,"N/A","2025-07-01","2026-06-30"]
[19,"Los Angeles","Licensed Physician","T1007",1672.96,15,"N/A","N/A","N/A","Treatment Planning","Alcohol and/or substance abuse services, treatment plan development and/or modification, 15 minutes","N/A",418.24,"N/A","2025-07-01","2026-06-30"]
[19,"Los Angeles","Licensed Psychiatric Technician",97552,306.02999999999997,45,"N/A","N/A","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",51.01,"N/A","2025-07-01","2026-06-30"]
[19,"Los Angeles","Licensed Psychiatric Technician","G0542",306.02999999999997,15,"N/A","N/A","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",76.510000000000005,"N/A","2025-07-01","2026-06-30"]
[19,"Los Angeles","Licensed Psychiatric Technician","H0034",306.02999999999997,15,"N/A","N/A","N/A","Medication Services","Medication training and support, 15 minutes","N/A",76.510000000000005,"N/A","2025-07-01","2026-06-30"]
[19,"Los Angeles","Licensed Vocational Nurse",90785,356.98,"N/A","N/A","N/A","N/A","Supplemental","Interactive complexity. There is no assigned time for this code. ","N/A",18.89,"N/A","2025-07-01","2026-06-30"]
[19,"Los Angeles","Licensed Vocational Nurse",97550,356.98,23,"N/A","N/A","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",136.84,"N/A","2025-07-01","2026-06-30"]
[19,"Los Angeles","Licensed Vocational Nurse","G2011",356.98,10,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 5-14 Minutes","N/A",59.5,"N/A","2025-07-01","2026-06-30"]
[19,"Los Angeles","Licensed Vocational Nurse","H2017",356.98,15,"N/A","N/A","N/A","Recovery","Psychosocial rehabilitation services, 15 Minutes","N/A",89.25,"N/A","2025-07-01","2026-06-30"]
[19,"Los Angeles","Medical Assistant",96170,245.39,30,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; initial 30 minutes","N/A",122.7,"N/A","2025-07-01","2026-06-30"]
[19,"Los Angeles","Medical Assistant","H0034",245.39,15,"N/A","HQ","N/A","Medication Services","Medication training and support, 15 minutes","N/A",13.63,"N/A","2025-07-01","2026-06-30"]
[19,"Los Angeles","MFT/LPCC (Licensed, Waivered or Registered)",90882,435.39,15,"N/A","N/A","N/A","Care Coordination","Environmental intervention for medical management purposes on a psychiatric patient's behalf with agencies, employers, or institutions, 15 minutes","N/A",108.85,"N/A","2025-07-01","2026-06-30"]
[19,"Los Angeles","MFT/LPCC (Licensed, Waivered or Registered)",97551,435.39,15,"N/A","N/A","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",108.85,"N/A","2025-07-01","2026-06-30"]
[19,"Los Angeles","MFT/LPCC (Licensed, Waivered or Registered)","G0323",435.39,60,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[19,"Los Angeles","MFT/LPCC (Licensed, Waivered or Registered)","H2014",435.39,15,"N/A","N/A","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",108.85,"N/A","2025-07-01","2026-06-30"]
[19,"Los Angeles","MFT/LPCC (Licensed, Waivered or Registered)","T1017",435.39,15,"N/A","N/A","N/A","Care Coordination","Targeted case management, 15 minutes","N/A",108.85,"N/A","2025-07-01","2026-06-30"]
[19,"Los Angeles","Nurse Practitioner",90791,831.92,60,"N/A","N/A","N/A","Assessment","Psychiatric diagnostic evaluation, 60 minutes","N/A",831.92,"N/A","2025-07-01","2026-06-30"]
[19,"Los Angeles","Nurse Practitioner",96131,831.92,60,"N/A","N/A","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",831.92,"N/A","2025-07-01","2026-06-30"]
[19,"Los Angeles","Nurse Practitioner",99213,831.92,25,"N/A","N/A","N/A","Assessment","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. 20-29 minutes total time on the date of the encounter.","N/A",346.63,"N/A","2025-07-01","2026-06-30"]
[19,"Los Angeles","Nurse Practitioner",99238,831.92,30,"N/A","N/A","N/A","Discharge","Hospital inpatient or observation discharge day management; 30 minutes or less on the date of the encounter","N/A",415.96,"N/A","2025-07-01","2026-06-30"]
[19,"Los Angeles","Nurse Practitioner",99342,831.92,45,"N/A","N/A","N/A","Assessment","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. 30-59 minutes total time on the date of the encounter.","N/A",623.94000000000005,"N/A","2025-07-01","2026-06-30"]
[19,"Los Angeles","Nurse Practitioner",99441,831.92,8,"N/A","N/A","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",110.92,"N/A","2025-07-01","2026-06-30"]
[19,"Los Angeles","Nurse Practitioner","G0542",831.92,15,"N/A","N/A","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",207.98,"N/A","2025-07-01","2026-06-30"]
[19,"Los Angeles","Nurse Practitioner","H0004",831.92,15,"N/A","N/A","N/A","Individual Counseling","Behavioral health counseling and therapy, 15 minutes","N/A",207.98,"N/A","2025-07-01","2026-06-30"]
[19,"Los Angeles","Nurse Practitioner","H2021",831.92,15,"N/A","N/A","N/A","Treatment Planning","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",207.98,"N/A","2025-07-01","2026-06-30"]
[19,"Los Angeles","Nurse Practitioner","T2024",831.92,15,"N/A","N/A","N/A","Assessment","Assessment substitute, 15 minutes","N/A",207.98,"N/A","2025-07-01","2026-06-30"]
[19,"Los Angeles","Occupational Therapist",96170,579.58000000000004,30,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; initial 30 minutes","N/A",289.79000000000002,"N/A","2025-07-01","2026-06-30"]
[19,"Los Angeles","Occupational Therapist","H0050",579.58000000000004,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or Drug Services, brief intervention, 15 minutes","N/A",144.9,"N/A","2025-07-01","2026-06-30"]
[19,"Los Angeles","Other Qualified Practitioner","G0396",327.57,23,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 15-30 Minutes","N/A",125.57,"N/A","2025-07-01","2026-06-30"]
[19,"Los Angeles","Other Qualified Practitioner","H0001",327.57,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug assessment, 15 minutes","N/A",81.89,"N/A","2025-07-01","2026-06-30"]
[19,"Los Angeles","Physician Assistant",90846,750.31,50,"N/A","N/A","N/A","Family Therapy","Family Psychotherapy (Without the Patient Present), 50 minutes","N/A",625.26,"N/A","2025-07-01","2026-06-30"]
[19,"Los Angeles","Physician Assistant",90887,750.31,50,"N/A","N/A","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",625.26,"N/A","2025-07-01","2026-06-30"]
[19,"Los Angeles","Physician Assistant",96171,750.31,15,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; each additional 15 minutes","N/A",187.58,"N/A","2025-07-01","2026-06-30"]
[19,"Los Angeles","Physician Assistant",99212,750.31,15,"N/A","N/A","N/A","Assessment","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. 10-19 minutes total time on the date of the encounter.","N/A",187.58,"N/A","2025-07-01","2026-06-30"]
[19,"Los Angeles","Physician Assistant",99310,750.31,52,"N/A","N/A","N/A","Assessment","\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. 45-59 minutes total time on the date of the encounter.","N/A",650.27,"N/A","2025-07-01","2026-06-30"]
[19,"Los Angeles","Physician Assistant",99408,750.31,23,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or substance (other than tobacco) abuse structural screening (eg, AUDIT ,DAST), and brief intervention (SBI) services. 15-30 minutes. ","N/A",287.62,"N/A","2025-07-01","2026-06-30"]
[19,"Los Angeles","Physician Assistant","G0397",750.31,60,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 31-1440 Minutes","N/A",750.31,"N/A","2025-07-01","2026-06-30"]
[19,"Los Angeles","Physician Assistant","G2011",750.31,10,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 5-14 Minutes","N/A",125.05,"N/A","2025-07-01","2026-06-30"]
[19,"Los Angeles","Physician Assistant","H0034",750.31,15,"N/A","N/A","N/A","Medication Services","Medication training and support, 15 minutes","N/A",187.58,"N/A","2025-07-01","2026-06-30"]
[19,"Los Angeles","Physician Assistant","H2027",750.31,15,"N/A","N/A","N/A","Treatment Planning","Psychoeducational Service, 15 minutes","N/A",187.58,"N/A","2025-07-01","2026-06-30"]
[19,"Los Angeles","Psychologist (Licensed or Waivered)",90847,672.81,50,"N/A","N/A","N/A","Family Therapy","Family Psychotherapy (Conjoint psychotheraphy with Patient Present), 50 minutes","N/A",560.67999999999995,"N/A","2025-07-01","2026-06-30"]
[19,"Los Angeles","Psychologist (Licensed or Waivered)",96171,672.81,15,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; each additional 15 minutes","N/A",168.2,"N/A","2025-07-01","2026-06-30"]
[19,"Los Angeles","Psychologist (Licensed or Waivered)","G0543",672.81,45,"N/A","N/A","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",112.14,"N/A","2025-07-01","2026-06-30"]
[19,"Los Angeles","Psychologist (Licensed or Waivered)","H2014",672.81,15,"N/A","HQ","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",37.380000000000003,"N/A","2025-07-01","2026-06-30"]
[19,"Los Angeles","Psychologist (Licensed or Waivered)","T1013",672.81,"N/A","N/A","N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"N/A","2025-07-01","2026-06-30"]
[19,"Los Angeles","Registered Nurse",96202,679.53,60,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[19,"Los Angeles","Registered Nurse","G0540",679.53,15,"N/A","N/A","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",169.88,"N/A","2025-07-01","2026-06-30"]
[19,"Los Angeles","Registered Nurse","H0003",679.53,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening. Laboratory analysis of specimens for presence of alcohol and/or drugs, 15 minutes","N/A",169.88,"N/A","2025-07-01","2026-06-30"]
[19,"Los Angeles","Registered Nurse","T1006",679.53,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or substance abuse services, family/couple counseling, 15 minutes","N/A",169.88,"N/A","2025-07-01","2026-06-30"]
[19,"Los Angeles","Registered Pharmacist",97551,800.81,15,"N/A","N/A","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",200.2,"N/A","2025-07-01","2026-06-30"]
[19,"Los Angeles","Registered Pharmacist","H0008",800.81,15,"N/A","N/A","N/A","Recovery","Alcohol and/or drug services: (hospital inpatient) Subacute detoxification, 15 minutes","N/A",200.2,"N/A","2025-07-01","2026-06-30"]
[19,"Los Angeles","Registered Pharmacist","H0034",800.81,15,"N/A","N/A","N/A","Medication Services","Medication training and support, 15 minutes","N/A",200.2,"N/A","2025-07-01","2026-06-30"]
[21,"Marin","Certified AOD Counselor","H0004",392.8,15,"N/A","N/A","N/A","Individual Counseling","Behavioral health counseling and therapy, 15 minutes","N/A",98.2,"N/A","2025-07-01","2026-06-30"]
[21,"Marin","Certified AOD Counselor","H2014",392.8,15,"N/A","HQ","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",21.82,"N/A","2025-07-01","2026-06-30"]
[21,"Marin","Certified AOD Counselor","T1013",392.8,"N/A","N/A","N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"N/A","2025-07-01","2026-06-30"]
[21,"Marin","LCSW (Licensed, Waivered or Registered)",96160,473.56,15,"N/A","N/A","N/A","Care Coordination","Administration of patient-focused health risk assessment instrument (eg, health hazard appraisal) with scoring and documentation, per standardized instrument, 15 minutes","N/A",118.39,"N/A","2025-07-01","2026-06-30"]
[21,"Marin","LCSW (Licensed, Waivered or Registered)",97552,473.56,45,"N/A","N/A","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",78.930000000000007,"N/A","2025-07-01","2026-06-30"]
[21,"Marin","LCSW (Licensed, Waivered or Registered)","G0541",473.56,23,"N/A","N/A","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",181.53,"N/A","2025-07-01","2026-06-30"]
[21,"Marin","LCSW (Licensed, Waivered or Registered)","H2027",473.56,15,"N/A","N/A","N/A","Treatment Planning","Psychoeducational Service, 15 minutes","N/A",118.39,"N/A","2025-07-01","2026-06-30"]
[21,"Marin","Licensed Physician",90785,1819.59,"N/A","N/A","N/A","N/A","Supplemental","Interactive complexity. There is no assigned time for this code. ","N/A",18.89,"N/A","2025-07-01","2026-06-30"]
[21,"Marin","Licensed Physician",90865,1819.59,90,"N/A","N/A","N/A","Assessment","Nacrosynthesis for psychiatric diagnostic and therapeutic purposes (eg, sodium amobarbital (Amytal) interview), 90 minutes","N/A",2729.39,"N/A","2025-07-01","2026-06-30"]
[21,"Marin","Licensed Physician",99204,1819.59,52,"N/A","N/A","N/A","Assessment","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. 45-59 minutes total time on the date of the encounter.","N/A",1576.98,"N/A","2025-07-01","2026-06-30"]
[21,"Marin","Licensed Physician",99238,1819.59,30,"N/A","N/A","N/A","Discharge","Hospital inpatient or observation discharge day management; 30 minutes or less on the date of the encounter","N/A",909.8,"N/A","2025-07-01","2026-06-30"]
[21,"Marin","Licensed Physician",99310,1819.59,52,"N/A","N/A","N/A","Assessment","\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. 45-59 minutes total time on the date of the encounter.","N/A",1576.98,"N/A","2025-07-01","2026-06-30"]
[21,"Marin","Licensed Physician",99408,1819.59,23,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or substance (other than tobacco) abuse structural screening (eg, AUDIT ,DAST), and brief intervention (SBI) services. 15-30 minutes. ","N/A",697.51,"N/A","2025-07-01","2026-06-30"]
[21,"Marin","Licensed Physician","G0396",1819.59,23,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 15-30 Minutes","N/A",697.51,"N/A","2025-07-01","2026-06-30"]
[21,"Marin","Licensed Physician","G0543",1819.59,45,"N/A","N/A","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",303.27,"N/A","2025-07-01","2026-06-30"]
[21,"Marin","Licensed Physician","H0034",1819.59,15,"N/A","HQ","N/A","Medication Services","Medication training and support, 15 minutes","N/A",101.09,"N/A","2025-07-01","2026-06-30"]
[21,"Marin","Licensed Physician","T2021",1819.59,15,"N/A","HQ","N/A","Family Therapy","Therapy substitute, 15 minutes","N/A",101.09,"N/A","2025-07-01","2026-06-30"]
[21,"Marin","Licensed Psychiatric Technician",96202,332.85,60,"N/A","N/A","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",73.97,"N/A","2025-07-01","2026-06-30"]
[21,"Marin","Licensed Psychiatric Technician","G0397",332.85,60,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 31-1440 Minutes","N/A",332.85,"N/A","2025-07-01","2026-06-30"]
[21,"Marin","Licensed Psychiatric Technician","H0050",332.85,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or Drug Services, brief intervention, 15 minutes","N/A",83.21,"N/A","2025-07-01","2026-06-30"]
[21,"Marin","Licensed Psychiatric Technician","T1007",332.85,15,"N/A","N/A","N/A","Treatment Planning","Alcohol and/or substance abuse services, treatment plan development and/or modification, 15 minutes","N/A",83.21,"N/A","2025-07-01","2026-06-30"]
[21,"Marin","Licensed Vocational Nurse",96160,388.27,15,"N/A","N/A","N/A","Care Coordination","Administration of patient-focused health risk assessment instrument (eg, health hazard appraisal) with scoring and documentation, per standardized instrument, 15 minutes","N/A",97.07,"N/A","2025-07-01","2026-06-30"]
[21,"Marin","Licensed Vocational Nurse","H0007",388.27,15,"N/A","N/A","N/A","Crisis Intervention","Alcohol and/or drug services; crisis intervention (outpatient), 15 minutes","N/A",97.07,"N/A","2025-07-01","2026-06-30"]
[21,"Marin","Licensed Vocational Nurse","H2014",388.27,15,"N/A","HQ","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",21.57,"N/A","2025-07-01","2026-06-30"]
[21,"Marin","Licensed Vocational Nurse","H2027",388.27,15,"N/A","N/A","N/A","Treatment Planning","Psychoeducational Service, 15 minutes","N/A",97.07,"N/A","2025-07-01","2026-06-30"]
[21,"Marin","Medical Assistant",99368,266.89999999999998,60,"N/A","N/A","N/A","Care Coordination","Medical team conference with interdisciplinary team of health care professionals, patient and/or family not present, 30-1440 minutes; participation by nonphysician qualified health care professional","N/A",266.89999999999998,"N/A","2025-07-01","2026-06-30"]
[21,"Marin","MFT/LPCC (Licensed, Waivered or Registered)",90785,473.56,"N/A","N/A","N/A","N/A","Supplemental","Interactive complexity. There is no assigned time for this code. ","N/A",18.89,"N/A","2025-07-01","2026-06-30"]
[21,"Marin","MFT/LPCC (Licensed, Waivered or Registered)",90889,473.56,15,"N/A","N/A","N/A","Care Coordination","Preparation of report of patient's psychiatric status, history, treatment, or progress (other than for legal or consultative purposes) for other individuals, agencies, or insurance carriers, 15 minutes","N/A",118.39,"N/A","2025-07-01","2026-06-30"]
[21,"Marin","MFT/LPCC (Licensed, Waivered or Registered)",98966,473.56,8,"N/A","N/A","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",63.14,"N/A","2025-07-01","2026-06-30"]
[21,"Marin","MFT/LPCC (Licensed, Waivered or Registered)","H0049",473.56,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening, 15 minutes","N/A",118.39,"N/A","2025-07-01","2026-06-30"]
[21,"Marin","MFT/LPCC (Licensed, Waivered or Registered)","H2017",473.56,15,"N/A","HQ","N/A","Recovery","Psychosocial rehabilitation services, 15 Minutes","N/A",26.31,"N/A","2025-07-01","2026-06-30"]
[21,"Marin","MFT/LPCC (Licensed, Waivered or Registered)","T2021",473.56,15,"N/A","N/A","N/A","Family Therapy","Therapy substitute, 15 minutes","N/A",118.39,"N/A","2025-07-01","2026-06-30"]
[21,"Marin","Nurse Practitioner",96170,904.84,30,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; initial 30 minutes","N/A",452.42,"N/A","2025-07-01","2026-06-30"]
[21,"Marin","Nurse Practitioner",99212,904.84,15,"N/A","N/A","N/A","Assessment","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. 10-19 minutes total time on the date of the encounter.","N/A",226.21,"N/A","2025-07-01","2026-06-30"]
[21,"Marin","Nurse Practitioner",99215,904.84,47,"N/A","N/A","N/A","Assessment","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. 40-54 minutes total time on the date of the encounter.","N/A",708.79,"N/A","2025-07-01","2026-06-30"]
[21,"Marin","Nurse Practitioner",99347,904.84,25,"N/A","N/A","N/A","Assessment","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. 20-29 minutes total time on the date of the encounter.","N/A",377.02,"N/A","2025-07-01","2026-06-30"]
[21,"Marin","Nurse Practitioner",99418,904.84,15,"N/A","N/A","N/A","Assessment","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 (This code does not follow the midpoint rule. A full 15 minutes must be met before one unit of 99418 can be claimed).","N/A",226.21,"N/A","2025-07-01","2026-06-30"]
[21,"Marin","Nurse Practitioner",99443,904.84,26,"N/A","N/A","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",392.1,"N/A","2025-07-01","2026-06-30"]
[21,"Marin","Nurse Practitioner","H0001",904.84,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug assessment, 15 minutes","N/A",226.21,"N/A","2025-07-01","2026-06-30"]
[21,"Marin","Nurse Practitioner","H2014",904.84,15,"N/A","N/A","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",226.21,"N/A","2025-07-01","2026-06-30"]
[21,"Marin","Nurse Practitioner","H2035",904.84,60,"N/A","N/A","N/A","Recovery","Alcohol and/or other drug treatment program, per hour ","N/A",904.84,"N/A","2025-07-01","2026-06-30"]
[21,"Marin","Occupational Therapist",90882,630.37,15,"N/A","N/A","N/A","Care Coordination","Environmental intervention for medical management purposes on a psychiatric patient's behalf with agencies, employers, or institutions, 15 minutes","N/A",157.59,"N/A","2025-07-01","2026-06-30"]
[21,"Marin","Occupational Therapist","H0004",630.37,15,"N/A","N/A","N/A","Individual Counseling","Behavioral health counseling and therapy, 15 minutes","N/A",157.59,"N/A","2025-07-01","2026-06-30"]
[21,"Marin","Occupational Therapist","H2014",630.37,15,"N/A","N/A","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",157.59,"N/A","2025-07-01","2026-06-30"]
[21,"Marin","Other Qualified Practitioner","H0001",356.28,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug assessment, 15 minutes","N/A",89.07,"N/A","2025-07-01","2026-06-30"]
[21,"Marin","Other Qualified Practitioner","T1017",356.28,15,"N/A","N/A","N/A","Care Coordination","Targeted case management, 15 minutes","N/A",89.07,"N/A","2025-07-01","2026-06-30"]
[21,"Marin","Physician Assistant",90849,816.08,84,"N/A","N/A","N/A","Family Therapy","Multiple-family group psychotherapy, 84 minutes","N/A",253.89,"N/A","2025-07-01","2026-06-30"]
[21,"Marin","Physician Assistant",96130,816.08,60,"N/A","N/A","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",816.08,"N/A","2025-07-01","2026-06-30"]
[21,"Marin","Physician Assistant",99212,816.08,15,"N/A","N/A","N/A","Assessment","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. 10-19 minutes total time on the date of the encounter.","N/A",204.02,"N/A","2025-07-01","2026-06-30"]
[21,"Marin","Physician Assistant",99305,816.08,42,"N/A","N/A","N/A","Assessment","\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. 35-49 minutes total time on the date of the encounter.","N/A",571.26,"N/A","2025-07-01","2026-06-30"]
[21,"Marin","Physician Assistant",99350,816.08,67,"N/A","N/A","N/A","Assessment","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. 60-74 minutes total time on the date of the encounter.","N/A",911.29,"N/A","2025-07-01","2026-06-30"]
[21,"Marin","Physician Assistant",99441,816.08,8,"N/A","N/A","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",108.81,"N/A","2025-07-01","2026-06-30"]
[21,"Marin","Physician Assistant","G0540",816.08,15,"N/A","N/A","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",204.02,"N/A","2025-07-01","2026-06-30"]
[21,"Marin","Physician Assistant","H0003",816.08,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening. Laboratory analysis of specimens for presence of alcohol and/or drugs, 15 minutes","N/A",204.02,"N/A","2025-07-01","2026-06-30"]
[21,"Marin","Physician Assistant","T1006",816.08,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or substance abuse services, family/couple counseling, 15 minutes","N/A",204.02,"N/A","2025-07-01","2026-06-30"]
[21,"Marin","Physician Assistant","T1007",816.08,15,"N/A","N/A","N/A","Treatment Planning","Alcohol and/or substance abuse services, treatment plan development and/or modification, 15 minutes","N/A",204.02,"N/A","2025-07-01","2026-06-30"]
[21,"Marin","Psychologist (Licensed or Waivered)",90882,731.78,15,"N/A","N/A","N/A","Care Coordination","Environmental intervention for medical management purposes on a psychiatric patient's behalf with agencies, employers, or institutions, 15 minutes","N/A",182.95,"N/A","2025-07-01","2026-06-30"]
[21,"Marin","Psychologist (Licensed or Waivered)","G0539",731.78,23,"N/A","N/A","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",280.52,"N/A","2025-07-01","2026-06-30"]
[21,"Marin","Psychologist (Licensed or Waivered)","H0001",731.78,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug assessment, 15 minutes","N/A",182.95,"N/A","2025-07-01","2026-06-30"]
[21,"Marin","Psychologist (Licensed or Waivered)","H2027",731.78,15,"N/A","N/A","N/A","Treatment Planning","Psychoeducational Service, 15 minutes","N/A",182.95,"N/A","2025-07-01","2026-06-30"]
[21,"Marin","Registered Nurse",96202,739.09,60,"N/A","N/A","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",164.24,"N/A","2025-07-01","2026-06-30"]
[21,"Marin","Registered Nurse",97551,739.09,15,"N/A","N/A","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",184.77,"N/A","2025-07-01","2026-06-30"]
[21,"Marin","Registered Nurse","G0542",739.09,15,"N/A","N/A","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",184.77,"N/A","2025-07-01","2026-06-30"]
[21,"Marin","Registered Nurse","H2014",739.09,15,"N/A","HQ","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",41.06,"N/A","2025-07-01","2026-06-30"]
[21,"Marin","Registered Nurse","T1013",739.09,"N/A","N/A","N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"N/A","2025-07-01","2026-06-30"]
[21,"Marin","Registered Pharmacist",99368,870.99,60,"N/A","N/A","N/A","Care Coordination","Medical team conference with interdisciplinary team of health care professionals, patient and/or family not present, 30-1440 minutes; participation by nonphysician qualified health care professional","N/A",870.99,"N/A","2025-07-01","2026-06-30"]
[21,"Marin","Registered Pharmacist","H0049",870.99,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening, 15 minutes","N/A",217.75,"N/A","2025-07-01","2026-06-30"]
[22,"Mariposa","Certified AOD Counselor",90785,474.51,"N/A","N/A","N/A","N/A","Supplemental","Interactive complexity. There is no assigned time for this code. ","N/A",18.89,"N/A","2025-07-01","2026-06-30"]
[22,"Mariposa","Certified AOD Counselor","H0007",474.51,15,"N/A","N/A","N/A","Crisis Intervention","Alcohol and/or drug services; crisis intervention (outpatient), 15 minutes","N/A",118.63,"N/A","2025-07-01","2026-06-30"]
[22,"Mariposa","Community Health Worker",98960,415.69,30,"N/A","N/A","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",207.85,"N/A","2025-07-01","2026-06-30"]
[22,"Mariposa","LCSW (Licensed, Waivered or Registered)",90882,600.66,15,"N/A","N/A","N/A","Care Coordination","Environmental intervention for medical management purposes on a psychiatric patient's behalf with agencies, employers, or institutions, 15 minutes","N/A",150.16999999999999,"N/A","2025-07-01","2026-06-30"]
[22,"Mariposa","LCSW (Licensed, Waivered or Registered)",96171,600.66,15,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; each additional 15 minutes","N/A",150.16999999999999,"N/A","2025-07-01","2026-06-30"]
[22,"Mariposa","LCSW (Licensed, Waivered or Registered)","G0323",600.66,60,"N/A","N/A","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",600.66,"N/A","2025-07-01","2026-06-30"]
[22,"Mariposa","LCSW (Licensed, Waivered or Registered)","H2015",600.66,15,"N/A","N/A","N/A","Recovery","Comprehensive community support services, 15 minutes","N/A",150.16999999999999,"N/A","2025-07-01","2026-06-30"]
[22,"Mariposa","LCSW (Licensed, Waivered or Registered)","T1006",600.66,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or substance abuse services, family/couple counseling, 15 minutes","N/A",150.16999999999999,"N/A","2025-07-01","2026-06-30"]
[22,"Mariposa","Licensed Physician",90792,2071.23,60,"N/A","N/A","N/A","Assessment","Psychiatric diagnostic evaluation with medical services, 60 minutes","N/A",2071.23,"N/A","2025-07-01","2026-06-30"]
[22,"Mariposa","Licensed Physician",97551,2071.23,15,"N/A","N/A","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",517.80999999999995,"N/A","2025-07-01","2026-06-30"]
[22,"Mariposa","Licensed Physician",99212,2071.23,15,"N/A","N/A","N/A","Assessment","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. 10-19 minutes total time on the date of the encounter.","N/A",517.80999999999995,"N/A","2025-07-01","2026-06-30"]
[22,"Mariposa","Licensed Physician",99305,2071.23,42,"N/A","N/A","N/A","Assessment","\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. 35-49 minutes total time on the date of the encounter.","N/A",1449.86,"N/A","2025-07-01","2026-06-30"]
[22,"Mariposa","Licensed Physician",99416,2071.23,30,"N/A","N/A","N/A","Assessment","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",1035.6199999999999,"N/A","2025-07-01","2026-06-30"]
[22,"Mariposa","Licensed Physician",99491,2071.23,30,"N/A","N/A","N/A","Care Coordination","Chronic care management services, first 30 minutes provided personally by a physician or other qualified health care professional, per calendar month. At least 30 minutes of service must be provided before 1 unit of this code can be reported.","N/A",1035.6199999999999,"N/A","2025-07-01","2026-06-30"]
[22,"Mariposa","Licensed Physician","G0539",2071.23,23,"N/A","N/A","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",793.97,"N/A","2025-07-01","2026-06-30"]
[22,"Mariposa","Licensed Physician","H0049",2071.23,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening, 15 minutes","N/A",517.80999999999995,"N/A","2025-07-01","2026-06-30"]
[22,"Mariposa","Licensed Physician","H2035",2071.23,60,"N/A","N/A","N/A","Recovery","Alcohol and/or other drug treatment program, per hour ","N/A",2071.23,"N/A","2025-07-01","2026-06-30"]
[22,"Mariposa","Licensed Physician","T2024",2071.23,15,"N/A","N/A","N/A","Assessment","Assessment substitute, 15 minutes","N/A",517.80999999999995,"N/A","2025-07-01","2026-06-30"]
[22,"Mariposa","Licensed Psychiatric Technician","G0541",378.88,23,"N/A","N/A","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",145.24,"N/A","2025-07-01","2026-06-30"]
[22,"Mariposa","Licensed Psychiatric Technician","H0034",378.88,15,"N/A","HQ","N/A","Medication Services","Medication training and support, 15 minutes","N/A",21.05,"N/A","2025-07-01","2026-06-30"]
[22,"Mariposa","Licensed Psychiatric Technician","H2014",378.88,15,"N/A","HQ","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",21.05,"N/A","2025-07-01","2026-06-30"]
[22,"Mariposa","Licensed Psychiatric Technician","T1017",378.88,15,"N/A","N/A","N/A","Care Coordination","Targeted case management, 15 minutes","N/A",94.72,"N/A","2025-07-01","2026-06-30"]
[22,"Mariposa","Licensed Vocational Nurse","G0542",441.96,15,"N/A","N/A","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",110.49,"N/A","2025-07-01","2026-06-30"]
[22,"Mariposa","Licensed Vocational Nurse","H0034",441.96,15,"N/A","N/A","N/A","Medication Services","Medication training and support, 15 minutes","N/A",110.49,"N/A","2025-07-01","2026-06-30"]
[22,"Mariposa","Licensed Vocational Nurse","H2015",441.96,15,"N/A","N/A","N/A","Recovery","Comprehensive community support services, 15 minutes","N/A",110.49,"N/A","2025-07-01","2026-06-30"]
[22,"Mariposa","Medical Assistant","H0033",338.54,15,"N/A","N/A","N/A","Medication Services","Medication administration, direct observation, 15 minutes","N/A",84.64,"N/A","2025-07-01","2026-06-30"]
[22,"Mariposa","Medical Assistant","H2027",338.54,15,"N/A","N/A","N/A","Treatment Planning","Psychoeducational Service, 15 minutes","N/A",84.64,"N/A","2025-07-01","2026-06-30"]
[22,"Mariposa","MFT/LPCC (Licensed, Waivered or Registered)",90846,600.66,50,"N/A","N/A","N/A","Family Therapy","Family Psychotherapy (Without the Patient Present), 50 minutes","N/A",500.55,"N/A","2025-07-01","2026-06-30"]
[22,"Mariposa","MFT/LPCC (Licensed, Waivered or Registered)",96171,600.66,15,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; each additional 15 minutes","N/A",150.16999999999999,"N/A","2025-07-01","2026-06-30"]
[22,"Mariposa","MFT/LPCC (Licensed, Waivered or Registered)","H0001",600.66,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug assessment, 15 minutes","N/A",150.16999999999999,"N/A","2025-07-01","2026-06-30"]
[22,"Mariposa","MFT/LPCC (Licensed, Waivered or Registered)","H1000",600.66,15,"N/A","N/A","N/A","Assessment","Prenatal Care, at risk assessment, 15 minutes ","N/A",150.16999999999999,"N/A","2025-07-01","2026-06-30"]
[22,"Mariposa","Nurse Practitioner",90785,1147.7,"N/A","N/A","N/A","N/A","Supplemental","Interactive complexity. There is no assigned time for this code. ","N/A",18.89,"N/A","2025-07-01","2026-06-30"]
[22,"Mariposa","Nurse Practitioner",90889,1147.7,15,"N/A","N/A","N/A","Care Coordination","Preparation of report of patient's psychiatric status, history, treatment, or progress (other than for legal or consultative purposes) for other individuals, agencies, or insurance carriers, 15 minutes","N/A",286.93,"N/A","2025-07-01","2026-06-30"]
[22,"Mariposa","Nurse Practitioner",96202,1147.7,60,"N/A","N/A","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",255.04,"N/A","2025-07-01","2026-06-30"]
[22,"Mariposa","Nurse Practitioner",99215,1147.7,47,"N/A","N/A","N/A","Assessment","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. 40-54 minutes total time on the date of the encounter.","N/A",899.03,"N/A","2025-07-01","2026-06-30"]
[22,"Mariposa","Nurse Practitioner",99341,1147.7,22,"N/A","N/A","N/A","Assessment","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. 15-29 minutes total time on the date of the encounter.","N/A",420.82,"N/A","2025-07-01","2026-06-30"]
[22,"Mariposa","Nurse Practitioner",99349,1147.7,50,"N/A","N/A","N/A","Assessment","\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. 40-59 minutes total time on the date of the encounter.","N/A",956.42,"N/A","2025-07-01","2026-06-30"]
[22,"Mariposa","Nurse Practitioner",99425,1147.7,30,"N/A","N/A","N/A","Care Coordination","Principal care management services, for a single high-risk disease, each additional 30 minutes provided personally by a physician or other qualified health care professional, per calendar month. Code 99425 is reported in conjunction with 99424, when at least an additional 30 minutes of service time is provided beyond 99424.","N/A",573.85,"N/A","2025-07-01","2026-06-30"]
[22,"Mariposa","Nurse Practitioner","H0001",1147.7,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug assessment, 15 minutes","N/A",286.93,"N/A","2025-07-01","2026-06-30"]
[22,"Mariposa","Nurse Practitioner","H0009",1147.7,15,"N/A","N/A","N/A","Recovery","Alcohol and/or drug services:  (hospital inpatient) Acute detoxification, 15 minutes","N/A",286.93,"N/A","2025-07-01","2026-06-30"]
[22,"Mariposa","Nurse Practitioner","T1007",1147.7,15,"N/A","N/A","N/A","Treatment Planning","Alcohol and/or substance abuse services, treatment plan development and/or modification, 15 minutes","N/A",286.93,"N/A","2025-07-01","2026-06-30"]
[22,"Mariposa","Occupational Therapist",96160,717.55,15,"N/A","N/A","N/A","Care Coordination","Administration of patient-focused health risk assessment instrument (eg, health hazard appraisal) with scoring and documentation, per standardized instrument, 15 minutes","N/A",179.39,"N/A","2025-07-01","2026-06-30"]
[22,"Mariposa","Occupational Therapist","G0541",717.55,23,"N/A","N/A","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",275.06,"N/A","2025-07-01","2026-06-30"]
[22,"Mariposa","Occupational Therapist","H0007",717.55,15,"N/A","N/A","N/A","Crisis Intervention","Alcohol and/or drug services; crisis intervention (outpatient), 15 minutes","N/A",179.39,"N/A","2025-07-01","2026-06-30"]
[22,"Mariposa","Other Qualified Practitioner","G0397",405.55,60,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 31-1440 Minutes","N/A",405.55,"N/A","2025-07-01","2026-06-30"]
[22,"Mariposa","Other Qualified Practitioner","H1000",405.55,15,"N/A","N/A","N/A","Assessment","Prenatal Care, at risk assessment, 15 minutes ","N/A",101.39,"N/A","2025-07-01","2026-06-30"]
[22,"Mariposa","Peer Support Specialists","H0025",451.91,15,"N/A","N/A","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",25.11,"N/A","2025-07-01","2026-06-30"]
[22,"Mariposa","Physician Assistant",90882,1035.1199999999999,15,"N/A","N/A","N/A","Care Coordination","Environmental intervention for medical management purposes on a psychiatric patient's behalf with agencies, employers, or institutions, 15 minutes","N/A",258.77999999999997,"N/A","2025-07-01","2026-06-30"]
[22,"Mariposa","Physician Assistant",99202,1035.1199999999999,22,"N/A","N/A","N/A","Assessment","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. 15-29 minutes total time on the date of the encounter.","N/A",379.54,"N/A","2025-07-01","2026-06-30"]
[22,"Mariposa","Physician Assistant",99214,1035.1199999999999,35,"N/A","N/A","N/A","Assessment","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. 30-39 minutes total time on the date of the encounter.","N/A",603.82000000000005,"N/A","2025-07-01","2026-06-30"]
[22,"Mariposa","Physician Assistant",99307,1035.1199999999999,15,"N/A","N/A","N/A","Assessment","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. 10-19 minutes total time on the date of the encounter for code selection.","N/A",258.77999999999997,"N/A","2025-07-01","2026-06-30"]
[22,"Mariposa","Physician Assistant",99409,1035.1199999999999,60,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or substance (other than tobacco) abuse structural screening (eg, AUDIT ,DAST), and brief intervention (SBI) services. 31-1440 minutes. ","N/A",1035.1199999999999,"N/A","2025-07-01","2026-06-30"]
[22,"Mariposa","Physician Assistant",99443,1035.1199999999999,26,"N/A","N/A","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",448.55,"N/A","2025-07-01","2026-06-30"]
[22,"Mariposa","Physician Assistant","G0542",1035.1199999999999,15,"N/A","N/A","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",258.77999999999997,"N/A","2025-07-01","2026-06-30"]
[22,"Mariposa","Physician Assistant","H2014",1035.1199999999999,15,"N/A","HQ","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",57.51,"N/A","2025-07-01","2026-06-30"]
[22,"Mariposa","Physician Assistant","T1013",1035.1199999999999,"N/A","N/A","N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"N/A","2025-07-01","2026-06-30"]
[22,"Mariposa","Psychologist (Licensed or Waivered)",90785,928.19,"N/A","N/A","N/A","N/A","Supplemental","Interactive complexity. There is no assigned time for this code. ","N/A",18.89,"N/A","2025-07-01","2026-06-30"]
[22,"Mariposa","Psychologist (Licensed or Waivered)",97550,928.19,23,"N/A","N/A","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",355.81,"N/A","2025-07-01","2026-06-30"]
[22,"Mariposa","Psychologist (Licensed or Waivered)","G0541",928.19,23,"N/A","N/A","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",355.81,"N/A","2025-07-01","2026-06-30"]
[22,"Mariposa","Psychologist (Licensed or Waivered)","H0004",928.19,15,"N/A","N/A","N/A","Individual Counseling","Behavioral health counseling and therapy, 15 minutes","N/A",232.05,"N/A","2025-07-01","2026-06-30"]
[22,"Mariposa","Registered Nurse",90889,937.47,15,"N/A","N/A","N/A","Care Coordination","Preparation of report of patient's psychiatric status, history, treatment, or progress (other than for legal or consultative purposes) for other individuals, agencies, or insurance carriers, 15 minutes","N/A",234.37,"N/A","2025-07-01","2026-06-30"]
[22,"Mariposa","Registered Nurse",97550,937.47,23,"N/A","N/A","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",359.36,"N/A","2025-07-01","2026-06-30"]
[22,"Mariposa","Registered Nurse",99424,937.47,30,"N/A","N/A","N/A","Care Coordination","Principal care management services, for a single high-risk disease, first 30 minutes provided personally by a physician or other qualified health care professional, per calendar month. At least 30 minutes of service must be provided before 1 unit of this code can be reported.","N/A",468.74,"N/A","2025-07-01","2026-06-30"]
[22,"Mariposa","Registered Nurse","H0048",937.47,15,"N/A","N/A","N/A","Assessment","Alcohol and/or other drug testing. Collection and handling only, specimens other than blood, 15 minutes","N/A",234.37,"N/A","2025-07-01","2026-06-30"]
[22,"Mariposa","Registered Nurse","H2015",937.47,15,"N/A","N/A","N/A","Recovery","Comprehensive community support services, 15 minutes","N/A",234.37,"N/A","2025-07-01","2026-06-30"]
[22,"Mariposa","Registered Nurse","T2024",937.47,15,"N/A","N/A","N/A","Assessment","Assessment substitute, 15 minutes","N/A",234.37,"N/A","2025-07-01","2026-06-30"]
[22,"Mariposa","Registered Pharmacist","H0033",1104.77,15,"N/A","N/A","N/A","Medication Services","Medication administration, direct observation, 15 minutes","N/A",276.19,"N/A","2025-07-01","2026-06-30"]
[22,"Mariposa","Registered Pharmacist","H1000",1104.77,15,"N/A","N/A","N/A","Assessment","Prenatal Care, at risk assessment, 15 minutes ","N/A",276.19,"N/A","2025-07-01","2026-06-30"]
[24,"Merced","Certified AOD Counselor","G0397",356.03,60,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 31-1440 Minutes","N/A",356.03,"N/A","2025-07-01","2026-06-30"]
[24,"Merced","Certified AOD Counselor","T1007",356.03,15,"N/A","N/A","N/A","Treatment Planning","Alcohol and/or substance abuse services, treatment plan development and/or modification, 15 minutes","N/A",89.01,"N/A","2025-07-01","2026-06-30"]
[24,"Merced","Community Health Worker",98962,331.01,30,"N/A","N/A","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",25.46,"N/A","2025-07-01","2026-06-30"]
[24,"Merced","LCSW (Licensed, Waivered or Registered)",90887,429.23,50,"N/A","N/A","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",357.69,"N/A","2025-07-01","2026-06-30"]
[24,"Merced","LCSW (Licensed, Waivered or Registered)","G0539",429.23,23,"N/A","N/A","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",164.54,"N/A","2025-07-01","2026-06-30"]
[24,"Merced","LCSW (Licensed, Waivered or Registered)","H0001",429.23,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug assessment, 15 minutes","N/A",107.31,"N/A","2025-07-01","2026-06-30"]
[24,"Merced","LCSW (Licensed, Waivered or Registered)","H2021",429.23,15,"N/A","N/A","N/A","Treatment Planning","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",107.31,"N/A","2025-07-01","2026-06-30"]
[24,"Merced","Licensed Physician",90849,1649.28,84,"N/A","N/A","N/A","Family Therapy","Multiple-family group psychotherapy, 84 minutes","N/A",513.11,"N/A","2025-07-01","2026-06-30"]
[24,"Merced","Licensed Physician",96171,1649.28,15,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; each additional 15 minutes","N/A",412.32,"N/A","2025-07-01","2026-06-30"]
[24,"Merced","Licensed Physician",99202,1649.28,22,"N/A","N/A","N/A","Assessment","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. 15-29 minutes total time on the date of the encounter.","N/A",604.74,"N/A","2025-07-01","2026-06-30"]
[24,"Merced","Licensed Physician",99308,1649.28,25,"N/A","N/A","N/A","Assessment","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. 20-29 minutes total time on the date of the encounter.","N/A",687.2,"N/A","2025-07-01","2026-06-30"]
[24,"Merced","Licensed Physician",99350,1649.28,67,"N/A","N/A","N/A","Assessment","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. 60-74 minutes total time on the date of the encounter.","N/A",1841.7,"N/A","2025-07-01","2026-06-30"]
[24,"Merced","Licensed Physician",99437,1649.28,30,"N/A","N/A","N/A","Care Coordination","Chronic care management services, each additional 30 minutes by a physician or other qualified health care professional, per calendar month. Code 99437 is reported in conjunction with 99491, when at least an additional 30 minutes of service time is provided beyond 99491.","N/A",824.64,"N/A","2025-07-01","2026-06-30"]
[24,"Merced","Licensed Physician",99496,1649.28,75,"N/A","N/A","N/A","Discharge","Transitional Care Management Services with the following required elements: Communication (direct contact, telephone, electronic) with the patient and/or caregiver within 2 business days of discharge. Medical decision making of high complexity during the service period, face-to-face visit within 7 calendar days of discharge, 75 minutes","N/A",2061.6,"N/A","2025-07-01","2026-06-30"]
[24,"Merced","Licensed Physician","H0033",1649.28,15,"N/A","N/A","N/A","Medication Services","Medication administration, direct observation, 15 minutes","N/A",412.32,"N/A","2025-07-01","2026-06-30"]
[24,"Merced","Licensed Physician","H1000",1649.28,15,"N/A","N/A","N/A","Assessment","Prenatal Care, at risk assessment, 15 minutes ","N/A",412.32,"N/A","2025-07-01","2026-06-30"]
[24,"Merced","Licensed Physician","T1007",1649.28,15,"N/A","N/A","N/A","Treatment Planning","Alcohol and/or substance abuse services, treatment plan development and/or modification, 15 minutes","N/A",412.32,"N/A","2025-07-01","2026-06-30"]
[24,"Merced","Licensed Psychiatric Technician",90889,301.7,15,"N/A","N/A","N/A","Care Coordination","Preparation of report of patient's psychiatric status, history, treatment, or progress (other than for legal or consultative purposes) for other individuals, agencies, or insurance carriers, 15 minutes","N/A",75.430000000000007,"N/A","2025-07-01","2026-06-30"]
[24,"Merced","Licensed Psychiatric Technician","G0543",301.7,45,"N/A","N/A","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",50.28,"N/A","2025-07-01","2026-06-30"]
[24,"Merced","Licensed Psychiatric Technician","H0048",301.7,15,"N/A","N/A","N/A","Assessment","Alcohol and/or other drug testing. Collection and handling only, specimens other than blood, 15 minutes","N/A",75.430000000000007,"N/A","2025-07-01","2026-06-30"]
[24,"Merced","Licensed Vocational Nurse",90889,351.92,15,"N/A","N/A","N/A","Care Coordination","Preparation of report of patient's psychiatric status, history, treatment, or progress (other than for legal or consultative purposes) for other individuals, agencies, or insurance carriers, 15 minutes","N/A",87.98,"N/A","2025-07-01","2026-06-30"]
[24,"Merced","Licensed Vocational Nurse","G0397",351.92,60,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 31-1440 Minutes","N/A",351.92,"N/A","2025-07-01","2026-06-30"]
[24,"Merced","Licensed Vocational Nurse","G2011",351.92,10,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 5-14 Minutes","N/A",58.65,"N/A","2025-07-01","2026-06-30"]
[24,"Merced","Licensed Vocational Nurse","H0050",351.92,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or Drug Services, brief intervention, 15 minutes","N/A",87.98,"N/A","2025-07-01","2026-06-30"]
[24,"Merced","Medical Assistant",96171,241.92,15,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; each additional 15 minutes","N/A",60.48,"N/A","2025-07-01","2026-06-30"]
[24,"Merced","Medical Assistant","H0034",241.92,15,"N/A","N/A","N/A","Medication Services","Medication training and support, 15 minutes","N/A",60.48,"N/A","2025-07-01","2026-06-30"]
[24,"Merced","Medical Assistant","T1017",241.92,15,"N/A","N/A","N/A","Care Coordination","Targeted case management, 15 minutes","N/A",60.48,"N/A","2025-07-01","2026-06-30"]
[24,"Merced","MFT/LPCC (Licensed, Waivered or Registered)",97551,429.23,15,"N/A","N/A","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",107.31,"N/A","2025-07-01","2026-06-30"]
[24,"Merced","MFT/LPCC (Licensed, Waivered or Registered)","G0323",429.23,60,"N/A","N/A","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",429.23,"N/A","2025-07-01","2026-06-30"]
[24,"Merced","MFT/LPCC (Licensed, Waivered or Registered)","H2014",429.23,15,"N/A","N/A","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",107.31,"N/A","2025-07-01","2026-06-30"]
[24,"Merced","MFT/LPCC (Licensed, Waivered or Registered)","T2021",429.23,15,"N/A","HQ","N/A","Family Therapy","Therapy substitute, 15 minutes","N/A",23.85,"N/A","2025-07-01","2026-06-30"]
[24,"Merced","Nurse Practitioner",90792,820.14,60,"N/A","N/A","N/A","Assessment","Psychiatric diagnostic evaluation with medical services, 60 minutes","N/A",820.14,"N/A","2025-07-01","2026-06-30"]
[24,"Merced","Nurse Practitioner",96131,820.14,60,"N/A","N/A","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",820.14,"N/A","2025-07-01","2026-06-30"]
[24,"Merced","Nurse Practitioner",99213,820.14,25,"N/A","N/A","N/A","Assessment","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. 20-29 minutes total time on the date of the encounter.","N/A",341.73,"N/A","2025-07-01","2026-06-30"]
[24,"Merced","Nurse Practitioner",99236,820.14,92,"N/A","N/A","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. 85-99 minutes total time on the date of the encounter.","N/A",1257.55,"N/A","2025-07-01","2026-06-30"]
[24,"Merced","Nurse Practitioner",99344,820.14,67,"N/A","N/A","N/A","Assessment","\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. 60-74 minutes total time on the date of the encounter.","N/A",915.82,"N/A","2025-07-01","2026-06-30"]
[24,"Merced","Nurse Practitioner",99442,820.14,16,"N/A","N/A","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",218.7,"N/A","2025-07-01","2026-06-30"]
[24,"Merced","Nurse Practitioner","G0541",820.14,23,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[24,"Merced","Nurse Practitioner","H0004",820.14,15,"N/A","N/A","N/A","Individual Counseling","Behavioral health counseling and therapy, 15 minutes","N/A",205.04,"N/A","2025-07-01","2026-06-30"]
[24,"Merced","Nurse Practitioner","H2021",820.14,15,"N/A","N/A","N/A","Treatment Planning","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",205.04,"N/A","2025-07-01","2026-06-30"]
[24,"Merced","Nurse Practitioner","T2021",820.14,15,"N/A","HQ","N/A","Family Therapy","Therapy substitute, 15 minutes","N/A",45.56,"N/A","2025-07-01","2026-06-30"]
[24,"Merced","Occupational Therapist",96171,571.37,15,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; each additional 15 minutes","N/A",142.84,"N/A","2025-07-01","2026-06-30"]
[24,"Merced","Occupational Therapist","G0543",571.37,45,"N/A","N/A","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",95.23,"N/A","2025-07-01","2026-06-30"]
[24,"Merced","Occupational Therapist","T2024",571.37,15,"N/A","N/A","N/A","Assessment","Assessment substitute, 15 minutes","N/A",142.84,"N/A","2025-07-01","2026-06-30"]
[24,"Merced","Other Qualified Practitioner","H0001",322.93,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug assessment, 15 minutes","N/A",80.73,"N/A","2025-07-01","2026-06-30"]
[24,"Merced","Other Qualified Practitioner","H2027",322.93,15,"N/A","N/A","N/A","Treatment Planning","Psychoeducational Service, 15 minutes","N/A",80.73,"N/A","2025-07-01","2026-06-30"]
[24,"Merced","Physician Assistant",90885,739.69,60,"N/A","N/A","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",739.69,"N/A","2025-07-01","2026-06-30"]
[24,"Merced","Physician Assistant",97552,739.69,45,"N/A","N/A","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",123.28,"N/A","2025-07-01","2026-06-30"]
[24,"Merced","Physician Assistant",99204,739.69,52,"N/A","N/A","N/A","Assessment","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. 45-59 minutes total time on the date of the encounter.","N/A",641.05999999999995,"N/A","2025-07-01","2026-06-30"]
[24,"Merced","Physician Assistant",99310,739.69,52,"N/A","N/A","N/A","Assessment","\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. 45-59 minutes total time on the date of the encounter.","N/A",641.05999999999995,"N/A","2025-07-01","2026-06-30"]
[24,"Merced","Physician Assistant",99408,739.69,23,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or substance (other than tobacco) abuse structural screening (eg, AUDIT ,DAST), and brief intervention (SBI) services. 15-30 minutes. ","N/A",283.55,"N/A","2025-07-01","2026-06-30"]
[24,"Merced","Physician Assistant",99424,739.69,30,"N/A","N/A","N/A","Care Coordination","Principal care management services, for a single high-risk disease, first 30 minutes provided personally by a physician or other qualified health care professional, per calendar month. At least 30 minutes of service must be provided before 1 unit of this code can be reported.","N/A",369.85,"N/A","2025-07-01","2026-06-30"]
[24,"Merced","Physician Assistant","H0001",739.69,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug assessment, 15 minutes","N/A",184.92,"N/A","2025-07-01","2026-06-30"]
[24,"Merced","Physician Assistant","H0048",739.69,15,"N/A","N/A","N/A","Assessment","Alcohol and/or other drug testing. Collection and handling only, specimens other than blood, 15 minutes","N/A",184.92,"N/A","2025-07-01","2026-06-30"]
[24,"Merced","Physician Assistant","H2015",739.69,15,"N/A","N/A","N/A","Recovery","Comprehensive community support services, 15 minutes","N/A",184.92,"N/A","2025-07-01","2026-06-30"]
[24,"Merced","Physician Assistant","T2021",739.69,15,"N/A","HQ","N/A","Family Therapy","Therapy substitute, 15 minutes","N/A",41.09,"N/A","2025-07-01","2026-06-30"]
[24,"Merced","Psychologist (Licensed or Waivered)",96171,663.28,15,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; each additional 15 minutes","N/A",165.82,"N/A","2025-07-01","2026-06-30"]
[24,"Merced","Psychologist (Licensed or Waivered)",98966,663.28,8,"N/A","N/A","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",88.44,"N/A","2025-07-01","2026-06-30"]
[24,"Merced","Psychologist (Licensed or Waivered)","G0543",663.28,45,"N/A","N/A","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",110.55,"N/A","2025-07-01","2026-06-30"]
[24,"Merced","Psychologist (Licensed or Waivered)","T1017",663.28,15,"N/A","N/A","N/A","Care Coordination","Targeted case management, 15 minutes","N/A",165.82,"N/A","2025-07-01","2026-06-30"]
[24,"Merced","Registered Nurse",90882,669.91,15,"N/A","N/A","N/A","Care Coordination","Environmental intervention for medical management purposes on a psychiatric patient's behalf with agencies, employers, or institutions, 15 minutes","N/A",167.48,"N/A","2025-07-01","2026-06-30"]
[24,"Merced","Registered Nurse",97552,669.91,45,"N/A","N/A","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",111.65,"N/A","2025-07-01","2026-06-30"]
[24,"Merced","Registered Nurse","H0003",669.91,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening. Laboratory analysis of specimens for presence of alcohol and/or drugs, 15 minutes","N/A",167.48,"N/A","2025-07-01","2026-06-30"]
[24,"Merced","Registered Nurse","H1000",669.91,15,"N/A","N/A","N/A","Assessment","Prenatal Care, at risk assessment, 15 minutes ","N/A",167.48,"N/A","2025-07-01","2026-06-30"]
[24,"Merced","Registered Nurse","T1006",669.91,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or substance abuse services, family/couple counseling, 15 minutes","N/A",167.48,"N/A","2025-07-01","2026-06-30"]
[24,"Merced","Registered Pharmacist","G0541",789.47,23,"N/A","N/A","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",302.63,"N/A","2025-07-01","2026-06-30"]
[24,"Merced","Registered Pharmacist","H0034",789.47,15,"N/A","N/A","N/A","Medication Services","Medication training and support, 15 minutes","N/A",197.37,"N/A","2025-07-01","2026-06-30"]
[24,"Merced","Registered Pharmacist","H2017",789.47,15,"N/A","N/A","N/A","Recovery","Psychosocial rehabilitation services, 15 Minutes","N/A",197.37,"N/A","2025-07-01","2026-06-30"]
[27,"Monterey","Certified AOD Counselor","H2017",341.65,15,"N/A","N/A","N/A","Recovery","Psychosocial rehabilitation services, 15 Minutes","N/A",85.41,"N/A","2025-07-01","2026-06-30"]
[27,"Monterey","Community Health Worker",98961,317.63,30,"N/A","N/A","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",52.94,"N/A","2025-07-01","2026-06-30"]
[27,"Monterey","Community Health Worker","G0022",317.63,30,"N/A","N/A","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",158.82,"N/A","2025-07-01","2026-06-30"]
[27,"Monterey","LCSW (Licensed, Waivered or Registered)",99368,411.89,60,"N/A","N/A","N/A","Care Coordination","Medical team conference with interdisciplinary team of health care professionals, patient and/or family not present, 30-1440 minutes; participation by nonphysician qualified health care professional","N/A",411.89,"N/A","2025-07-01","2026-06-30"]
[27,"Monterey","LCSW (Licensed, Waivered or Registered)","G0541",411.89,23,"N/A","N/A","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",157.88999999999999,"N/A","2025-07-01","2026-06-30"]
[27,"Monterey","LCSW (Licensed, Waivered or Registered)","H0005",411.89,15,"N/A","N/A","N/A","Group Counseling","Alcohol and/or drug services; group counseling by a clinician, 15 minutes ","N/A",22.88,"N/A","2025-07-01","2026-06-30"]
[27,"Monterey","LCSW (Licensed, Waivered or Registered)","T1006",411.89,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or substance abuse services, family/couple counseling, 15 minutes","N/A",102.97,"N/A","2025-07-01","2026-06-30"]
[27,"Monterey","Licensed Physician",90882,1582.64,15,"N/A","N/A","N/A","Care Coordination","Environmental intervention for medical management purposes on a psychiatric patient's behalf with agencies, employers, or institutions, 15 minutes","N/A",395.66,"N/A","2025-07-01","2026-06-30"]
[27,"Monterey","Licensed Physician",96203,1582.64,15,"N/A","N/A","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",87.92,"N/A","2025-07-01","2026-06-30"]
[27,"Monterey","Licensed Physician",99304,1582.64,30,"N/A","N/A","N/A","Assessment","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. 25-34 minutes total time on the date of the encounter.","N/A",791.32,"N/A","2025-07-01","2026-06-30"]
[27,"Monterey","Licensed Physician",99310,1582.64,52,"N/A","N/A","N/A","Assessment","\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. 45-59 minutes total time on the date of the encounter.","N/A",1371.62,"N/A","2025-07-01","2026-06-30"]
[27,"Monterey","Licensed Physician",99408,1582.64,23,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or substance (other than tobacco) abuse structural screening (eg, AUDIT ,DAST), and brief intervention (SBI) services. 15-30 minutes. ","N/A",606.67999999999995,"N/A","2025-07-01","2026-06-30"]
[27,"Monterey","Licensed Physician",99443,1582.64,26,"N/A","N/A","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",685.81,"N/A","2025-07-01","2026-06-30"]
[27,"Monterey","Licensed Physician","H0005",1582.64,15,"N/A","N/A","N/A","Group Counseling","Alcohol and/or drug services; group counseling by a clinician, 15 minutes ","N/A",87.92,"N/A","2025-07-01","2026-06-30"]
[27,"Monterey","Licensed Physician","H0034",1582.64,15,"N/A","N/A","N/A","Medication Services","Medication training and support, 15 minutes","N/A",395.66,"N/A","2025-07-01","2026-06-30"]
[27,"Monterey","Licensed Physician","T2021",1582.64,15,"N/A","HQ","N/A","Family Therapy","Therapy substitute, 15 minutes","N/A",87.92,"N/A","2025-07-01","2026-06-30"]
[27,"Monterey","Licensed Psychiatric Technician",96202,289.51,60,"N/A","N/A","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",64.34,"N/A","2025-07-01","2026-06-30"]
[27,"Monterey","Licensed Psychiatric Technician","G0397",289.51,60,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 31-1440 Minutes","N/A",289.51,"N/A","2025-07-01","2026-06-30"]
[27,"Monterey","Licensed Psychiatric Technician","H0034",289.51,15,"N/A","HQ","N/A","Medication Services","Medication training and support, 15 minutes","N/A",16.079999999999998,"N/A","2025-07-01","2026-06-30"]
[27,"Monterey","Licensed Psychiatric Technician","T1013",289.51,"N/A","N/A","N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"N/A","2025-07-01","2026-06-30"]
[27,"Monterey","Licensed Vocational Nurse",96170,337.71,30,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; initial 30 minutes","N/A",168.86,"N/A","2025-07-01","2026-06-30"]
[27,"Monterey","Licensed Vocational Nurse","G0540",337.71,15,"N/A","N/A","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",84.43,"N/A","2025-07-01","2026-06-30"]
[27,"Monterey","Licensed Vocational Nurse","H2014",337.71,15,"N/A","HQ","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",18.760000000000002,"N/A","2025-07-01","2026-06-30"]
[27,"Monterey","Medical Assistant",96160,232.15,15,"N/A","N/A","N/A","Care Coordination","Administration of patient-focused health risk assessment instrument (eg, health hazard appraisal) with scoring and documentation, per standardized instrument, 15 minutes","N/A",58.04,"N/A","2025-07-01","2026-06-30"]
[27,"Monterey","Medical Assistant","H0001",232.15,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug assessment, 15 minutes","N/A",58.04,"N/A","2025-07-01","2026-06-30"]
[27,"Monterey","MFT/LPCC (Licensed, Waivered or Registered)",90791,411.89,60,"N/A","N/A","N/A","Assessment","Psychiatric diagnostic evaluation, 60 minutes","N/A",411.89,"N/A","2025-07-01","2026-06-30"]
[27,"Monterey","MFT/LPCC (Licensed, Waivered or Registered)",90887,411.89,50,"N/A","N/A","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",343.24,"N/A","2025-07-01","2026-06-30"]
[27,"Monterey","MFT/LPCC (Licensed, Waivered or Registered)",98966,411.89,8,"N/A","N/A","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",54.92,"N/A","2025-07-01","2026-06-30"]
[27,"Monterey","MFT/LPCC (Licensed, Waivered or Registered)","H0049",411.89,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening, 15 minutes","N/A",102.97,"N/A","2025-07-01","2026-06-30"]
[27,"Monterey","MFT/LPCC (Licensed, Waivered or Registered)","H2017",411.89,15,"N/A","N/A","N/A","Recovery","Psychosocial rehabilitation services, 15 Minutes","N/A",102.97,"N/A","2025-07-01","2026-06-30"]
[27,"Monterey","MFT/LPCC (Licensed, Waivered or Registered)","T2021",411.89,15,"N/A",22,"N/A","Family Therapy","Therapy substitute, 15 minutes","N/A",105.98,"N/A","2025-07-01","2026-06-30"]
[27,"Monterey","Nurse Practitioner",96171,787.01,15,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; each additional 15 minutes","N/A",196.75,"N/A","2025-07-01","2026-06-30"]
[27,"Monterey","Nurse Practitioner",99203,787.01,37,"N/A","N/A","N/A","Assessment","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. 30-44 minutes total time on the date of the encounter.","N/A",485.32,"N/A","2025-07-01","2026-06-30"]
[27,"Monterey","Nurse Practitioner",99215,787.01,47,"N/A","N/A","N/A","Assessment","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. 40-54 minutes total time on the date of the encounter.","N/A",616.49,"N/A","2025-07-01","2026-06-30"]
[27,"Monterey","Nurse Practitioner",99308,787.01,25,"N/A","N/A","N/A","Assessment","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. 20-29 minutes total time on the date of the encounter.","N/A",327.92,"N/A","2025-07-01","2026-06-30"]
[27,"Monterey","Nurse Practitioner",99417,787.01,15,"N/A","N/A","N/A","Assessment","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 (This code does not follow the midpoint rule. A  full 15 minutes must be met before one unit of 99417 can be claimed).","N/A",196.75,"N/A","2025-07-01","2026-06-30"]
[27,"Monterey","Nurse Practitioner",99491,787.01,30,"N/A","N/A","N/A","Care Coordination","Chronic care management services, first 30 minutes provided personally by a physician or other qualified health care professional, per calendar month. At least 30 minutes of service must be provided before 1 unit of this code can be reported.","N/A",393.51,"N/A","2025-07-01","2026-06-30"]
[27,"Monterey","Nurse Practitioner","G0543",787.01,45,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[27,"Monterey","Nurse Practitioner","H2014",787.01,15,"N/A","N/A","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",196.75,"N/A","2025-07-01","2026-06-30"]
[27,"Monterey","Nurse Practitioner","H2035",787.01,60,"N/A","N/A","N/A","Recovery","Alcohol and/or other drug treatment program, per hour ","N/A",787.01,"N/A","2025-07-01","2026-06-30"]
[27,"Monterey","Nurse Practitioner","T2024",787.01,15,"N/A","N/A","N/A","Assessment","Assessment substitute, 15 minutes","N/A",196.75,"N/A","2025-07-01","2026-06-30"]
[27,"Monterey","Occupational Therapist","H0005",548.29,15,"N/A","N/A","N/A","Group Counseling","Alcohol and/or drug services; group counseling by a clinician, 15 minutes ","N/A",30.46,"N/A","2025-07-01","2026-06-30"]
[27,"Monterey","Occupational Therapist","H2027",548.29,15,"N/A","N/A","N/A","Treatment Planning","Psychoeducational Service, 15 minutes","N/A",137.07,"N/A","2025-07-01","2026-06-30"]
[27,"Monterey","Other Qualified Practitioner",90882,309.89,15,"N/A","N/A","N/A","Care Coordination","Environmental intervention for medical management purposes on a psychiatric patient's behalf with agencies, employers, or institutions, 15 minutes","N/A",77.47,"N/A","2025-07-01","2026-06-30"]
[27,"Monterey","Other Qualified Practitioner","T1017",309.89,15,"N/A","N/A","N/A","Care Coordination","Targeted case management, 15 minutes","N/A",77.47,"N/A","2025-07-01","2026-06-30"]
[27,"Monterey","Physician Assistant",90849,709.81,84,"N/A","N/A","N/A","Family Therapy","Multiple-family group psychotherapy, 84 minutes","N/A",220.83,"N/A","2025-07-01","2026-06-30"]
[27,"Monterey","Physician Assistant",96130,709.81,60,"N/A","N/A","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",709.81,"N/A","2025-07-01","2026-06-30"]
[27,"Monterey","Physician Assistant",99213,709.81,25,"N/A","N/A","N/A","Assessment","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. 20-29 minutes total time on the date of the encounter.","N/A",295.75,"N/A","2025-07-01","2026-06-30"]
[27,"Monterey","Physician Assistant",99306,709.81,57,"N/A","N/A","N/A","Assessment","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. 50-64 minutes total time on the date of the encounter.","N/A",674.32,"N/A","2025-07-01","2026-06-30"]
[27,"Monterey","Physician Assistant",99342,709.81,45,"N/A","N/A","N/A","Assessment","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. 30-59 minutes total time on the date of the encounter.","N/A",532.36,"N/A","2025-07-01","2026-06-30"]
[27,"Monterey","Physician Assistant",99415,709.81,60,"N/A","N/A","N/A","Assessment","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",709.81,"N/A","2025-07-01","2026-06-30"]
[27,"Monterey","Physician Assistant","G0540",709.81,15,"N/A","N/A","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",177.45,"N/A","2025-07-01","2026-06-30"]
[27,"Monterey","Physician Assistant","H0005",709.81,15,"N/A","N/A","N/A","Group Counseling","Alcohol and/or drug services; group counseling by a clinician, 15 minutes ","N/A",39.43,"N/A","2025-07-01","2026-06-30"]
[27,"Monterey","Physician Assistant","H0050",709.81,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or Drug Services, brief intervention, 15 minutes","N/A",177.45,"N/A","2025-07-01","2026-06-30"]
[27,"Monterey","Physician Assistant","T2024",709.81,15,"N/A","N/A","N/A","Assessment","Assessment substitute, 15 minutes","N/A",177.45,"N/A","2025-07-01","2026-06-30"]
[27,"Monterey","Psychologist (Licensed or Waivered)",96130,636.49,60,"N/A","N/A","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",636.49,"N/A","2025-07-01","2026-06-30"]
[27,"Monterey","Psychologist (Licensed or Waivered)",96203,636.49,15,"N/A","N/A","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",35.36,"N/A","2025-07-01","2026-06-30"]
[27,"Monterey","Psychologist (Licensed or Waivered)","H0001",636.49,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug assessment, 15 minutes","N/A",159.12,"N/A","2025-07-01","2026-06-30"]
[27,"Monterey","Psychologist (Licensed or Waivered)","T1013",636.49,"N/A","N/A","N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"N/A","2025-07-01","2026-06-30"]
[27,"Monterey","Psychologist (Licensed or Waivered)","T2021",636.49,15,"N/A","N/A","N/A","Family Therapy","Therapy substitute, 15 minutes","N/A",159.12,"N/A","2025-07-01","2026-06-30"]
[27,"Monterey","Registered Nurse",99368,642.85,60,"N/A","N/A","N/A","Care Coordination","Medical team conference with interdisciplinary team of health care professionals, patient and/or family not present, 30-1440 minutes; participation by nonphysician qualified health care professional","N/A",642.85,"N/A","2025-07-01","2026-06-30"]
[27,"Monterey","Registered Nurse","G0542",642.85,15,"N/A","N/A","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",160.71,"N/A","2025-07-01","2026-06-30"]
[27,"Monterey","Registered Nurse","H0005",642.85,15,"N/A","N/A","N/A","Group Counseling","Alcohol and/or drug services; group counseling by a clinician, 15 minutes ","N/A",35.71,"N/A","2025-07-01","2026-06-30"]
[27,"Monterey","Registered Nurse","H2015",642.85,15,"N/A","N/A","N/A","Recovery","Comprehensive community support services, 15 minutes","N/A",160.71,"N/A","2025-07-01","2026-06-30"]
[27,"Monterey","Registered Pharmacist","G0396",757.57,23,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 15-30 Minutes","N/A",290.39999999999998,"N/A","2025-07-01","2026-06-30"]
[27,"Monterey","Registered Pharmacist","G0543",757.57,45,"N/A","N/A","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",126.26,"N/A","2025-07-01","2026-06-30"]
[27,"Monterey","Registered Pharmacist","H0049",757.57,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening, 15 minutes","N/A",189.39,"N/A","2025-07-01","2026-06-30"]
[28,"Napa","Certified AOD Counselor","H0007",422.22,15,"N/A","N/A","N/A","Crisis Intervention","Alcohol and/or drug services; crisis intervention (outpatient), 15 minutes","N/A",105.56,"N/A","2025-07-01","2026-06-30"]
[28,"Napa","Certified AOD Counselor","H2027",422.22,15,"N/A","N/A","N/A","Treatment Planning","Psychoeducational Service, 15 minutes","N/A",105.56,"N/A","2025-07-01","2026-06-30"]
[28,"Napa","Community Health Worker","G0022",392.54,30,"N/A","N/A","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",196.27,"N/A","2025-07-01","2026-06-30"]
[28,"Napa","LCSW (Licensed, Waivered or Registered)",96202,509.02,60,"N/A","N/A","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",113.12,"N/A","2025-07-01","2026-06-30"]
[28,"Napa","LCSW (Licensed, Waivered or Registered)","G0396",509.02,23,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 15-30 Minutes","N/A",195.12,"N/A","2025-07-01","2026-06-30"]
[28,"Napa","LCSW (Licensed, Waivered or Registered)","G0543",509.02,45,"N/A","N/A","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",84.84,"N/A","2025-07-01","2026-06-30"]
[28,"Napa","LCSW (Licensed, Waivered or Registered)","T1006",509.02,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or substance abuse services, family/couple counseling, 15 minutes","N/A",127.26,"N/A","2025-07-01","2026-06-30"]
[28,"Napa","Licensed Physician",90792,1955.85,60,"N/A","N/A","N/A","Assessment","Psychiatric diagnostic evaluation with medical services, 60 minutes","N/A",1955.85,"N/A","2025-07-01","2026-06-30"]
[28,"Napa","Licensed Physician",96171,1955.85,15,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; each additional 15 minutes","N/A",488.96,"N/A","2025-07-01","2026-06-30"]
[28,"Napa","Licensed Physician",99235,1955.85,77,"N/A","N/A","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. 70-84 minutes total time on the date of the encounter.","N/A",2510.0100000000002,"N/A","2025-07-01","2026-06-30"]
[28,"Napa","Licensed Physician",99306,1955.85,57,"N/A","N/A","N/A","Assessment","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. 50-64 minutes total time on the date of the encounter.","N/A",1858.06,"N/A","2025-07-01","2026-06-30"]
[28,"Napa","Licensed Physician",99342,1955.85,45,"N/A","N/A","N/A","Assessment","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. 30-59 minutes total time on the date of the encounter.","N/A",1466.89,"N/A","2025-07-01","2026-06-30"]
[28,"Napa","Licensed Physician",99491,1955.85,30,"N/A","N/A","N/A","Care Coordination","Chronic care management services, first 30 minutes provided personally by a physician or other qualified health care professional, per calendar month. At least 30 minutes of service must be provided before 1 unit of this code can be reported.","N/A",977.93,"N/A","2025-07-01","2026-06-30"]
[28,"Napa","Licensed Physician",99495,1955.85,54,"N/A","N/A","N/A","Discharge","Transitional Care Management Services with the following required elements: Communication (direct contact, telephone, electronic) with the patient and/or caregiver within 2 business days of discharge. Medical decision making of at least moderate complexity during the service period, face-to-face visit within 14 calendar days of discharge, 54 minutes","N/A",1760.27,"N/A","2025-07-01","2026-06-30"]
[28,"Napa","Licensed Physician","H0003",1955.85,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening. Laboratory analysis of specimens for presence of alcohol and/or drugs, 15 minutes","N/A",488.96,"N/A","2025-07-01","2026-06-30"]
[28,"Napa","Licensed Physician","T1006",1955.85,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or substance abuse services, family/couple counseling, 15 minutes","N/A",488.96,"N/A","2025-07-01","2026-06-30"]
[28,"Napa","Licensed Physician","T2021",1955.85,15,"N/A",22,"N/A","Family Therapy","Therapy substitute, 15 minutes","N/A",491.97,"N/A","2025-07-01","2026-06-30"]
[28,"Napa","Licensed Psychiatric Technician",97550,357.78,23,"N/A","N/A","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",137.15,"N/A","2025-07-01","2026-06-30"]
[28,"Napa","Licensed Psychiatric Technician","H0034",357.78,15,"N/A","HQ","N/A","Medication Services","Medication training and support, 15 minutes","N/A",19.88,"N/A","2025-07-01","2026-06-30"]
[28,"Napa","Licensed Psychiatric Technician","H0049",357.78,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening, 15 minutes","N/A",89.45,"N/A","2025-07-01","2026-06-30"]
[28,"Napa","Licensed Vocational Nurse",90785,417.34,"N/A","N/A","N/A","N/A","Supplemental","Interactive complexity. There is no assigned time for this code. ","N/A",18.89,"N/A","2025-07-01","2026-06-30"]
[28,"Napa","Licensed Vocational Nurse","G0543",417.34,45,"N/A","N/A","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",69.56,"N/A","2025-07-01","2026-06-30"]
[28,"Napa","Licensed Vocational Nurse","H0048",417.34,15,"N/A","N/A","N/A","Assessment","Alcohol and/or other drug testing. Collection and handling only, specimens other than blood, 15 minutes","N/A",104.34,"N/A","2025-07-01","2026-06-30"]
[28,"Napa","Licensed Vocational Nurse","H2015",417.34,15,"N/A","N/A","N/A","Recovery","Comprehensive community support services, 15 minutes","N/A",104.34,"N/A","2025-07-01","2026-06-30"]
[28,"Napa","Medical Assistant","H0033",286.89,15,"N/A","N/A","N/A","Medication Services","Medication administration, direct observation, 15 minutes","N/A",71.72,"N/A","2025-07-01","2026-06-30"]
[28,"Napa","Medical Assistant","H2021",286.89,15,"N/A","N/A","N/A","Treatment Planning","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",71.72,"N/A","2025-07-01","2026-06-30"]
[28,"Napa","MFT/LPCC (Licensed, Waivered or Registered)",90847,509.02,50,"N/A","N/A","N/A","Family Therapy","Family Psychotherapy (Conjoint psychotheraphy with Patient Present), 50 minutes","N/A",424.18,"N/A","2025-07-01","2026-06-30"]
[28,"Napa","MFT/LPCC (Licensed, Waivered or Registered)",99368,509.02,60,"N/A","N/A","N/A","Care Coordination","Medical team conference with interdisciplinary team of health care professionals, patient and/or family not present, 30-1440 minutes; participation by nonphysician qualified health care professional","N/A",509.02,"N/A","2025-07-01","2026-06-30"]
[28,"Napa","MFT/LPCC (Licensed, Waivered or Registered)","H0001",509.02,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug assessment, 15 minutes","N/A",127.26,"N/A","2025-07-01","2026-06-30"]
[28,"Napa","MFT/LPCC (Licensed, Waivered or Registered)","H1000",509.02,15,"N/A","N/A","N/A","Assessment","Prenatal Care, at risk assessment, 15 minutes ","N/A",127.26,"N/A","2025-07-01","2026-06-30"]
[28,"Napa","MFT/LPCC (Licensed, Waivered or Registered)","H2035",509.02,60,"N/A","N/A","N/A","Recovery","Alcohol and/or other drug treatment program, per hour ","N/A",509.02,"N/A","2025-07-01","2026-06-30"]
[28,"Napa","Nurse Practitioner",96130,972.6,60,"N/A","N/A","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",972.6,"N/A","2025-07-01","2026-06-30"]
[28,"Napa","Nurse Practitioner",96203,972.6,15,"N/A","N/A","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",54.03,"N/A","2025-07-01","2026-06-30"]
[28,"Napa","Nurse Practitioner",99205,972.6,67,"N/A","N/A","N/A","Assessment","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. 60-74 minutes total time on the date of the encounter.","N/A",1086.07,"N/A","2025-07-01","2026-06-30"]
[28,"Napa","Nurse Practitioner",99341,972.6,22,"N/A","N/A","N/A","Assessment","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. 15-29 minutes total time on the date of the encounter.","N/A",356.62,"N/A","2025-07-01","2026-06-30"]
[28,"Napa","Nurse Practitioner",99409,972.6,60,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or substance (other than tobacco) abuse structural screening (eg, AUDIT ,DAST), and brief intervention (SBI) services. 31-1440 minutes. ","N/A",972.6,"N/A","2025-07-01","2026-06-30"]
[28,"Napa","Nurse Practitioner",99425,972.6,30,"N/A","N/A","N/A","Care Coordination","Principal care management services, for a single high-risk disease, each additional 30 minutes provided personally by a physician or other qualified health care professional, per calendar month. Code 99425 is reported in conjunction with 99424, when at least an additional 30 minutes of service time is provided beyond 99424.","N/A",486.3,"N/A","2025-07-01","2026-06-30"]
[28,"Napa","Nurse Practitioner","H0003",972.6,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening. Laboratory analysis of specimens for presence of alcohol and/or drugs, 15 minutes","N/A",243.15,"N/A","2025-07-01","2026-06-30"]
[28,"Napa","Nurse Practitioner","H0049",972.6,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening, 15 minutes","N/A",243.15,"N/A","2025-07-01","2026-06-30"]
[28,"Napa","Nurse Practitioner","H2017",972.6,15,"N/A","HQ","N/A","Recovery","Psychosocial rehabilitation services, 15 Minutes","N/A",54.03,"N/A","2025-07-01","2026-06-30"]
[28,"Napa","Occupational Therapist",96160,677.58,15,"N/A","N/A","N/A","Care Coordination","Administration of patient-focused health risk assessment instrument (eg, health hazard appraisal) with scoring and documentation, per standardized instrument, 15 minutes","N/A",169.4,"N/A","2025-07-01","2026-06-30"]
[28,"Napa","Occupational Therapist","G0541",677.58,23,"N/A","N/A","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",259.74,"N/A","2025-07-01","2026-06-30"]
[28,"Napa","Occupational Therapist","H0050",677.58,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or Drug Services, brief intervention, 15 minutes","N/A",169.4,"N/A","2025-07-01","2026-06-30"]
[28,"Napa","Occupational Therapist","T1013",677.58,"N/A","N/A","N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"N/A","2025-07-01","2026-06-30"]
[28,"Napa","Other Qualified Practitioner","H2021",382.96,15,"N/A","N/A","N/A","Treatment Planning","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",95.74,"N/A","2025-07-01","2026-06-30"]
[28,"Napa","Peer Support Specialists","H0025",402.11,15,"N/A","N/A","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",22.34,"N/A","2025-07-01","2026-06-30"]
[28,"Napa","Physician Assistant",90882,877.19,15,"N/A","N/A","N/A","Care Coordination","Environmental intervention for medical management purposes on a psychiatric patient's behalf with agencies, employers, or institutions, 15 minutes","N/A",219.3,"N/A","2025-07-01","2026-06-30"]
[28,"Napa","Physician Assistant",99202,877.19,22,"N/A","N/A","N/A","Assessment","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. 15-29 minutes total time on the date of the encounter.","N/A",321.64,"N/A","2025-07-01","2026-06-30"]
[28,"Napa","Physician Assistant",99236,877.19,92,"N/A","N/A","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. 85-99 minutes total time on the date of the encounter.","N/A",1345.02,"N/A","2025-07-01","2026-06-30"]
[28,"Napa","Physician Assistant",99308,877.19,25,"N/A","N/A","N/A","Assessment","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. 20-29 minutes total time on the date of the encounter.","N/A",365.5,"N/A","2025-07-01","2026-06-30"]
[28,"Napa","Physician Assistant",99418,877.19,15,"N/A","N/A","N/A","Assessment","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 (This code does not follow the midpoint rule. A full 15 minutes must be met before one unit of 99418 can be claimed).","N/A",219.3,"N/A","2025-07-01","2026-06-30"]
[28,"Napa","Physician Assistant","G0316",877.19,15,"N/A","N/A","N/A","Assessment","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",219.3,"N/A","2025-07-01","2026-06-30"]
[28,"Napa","Physician Assistant","G0542",877.19,15,"N/A","N/A","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",219.3,"N/A","2025-07-01","2026-06-30"]
[28,"Napa","Physician Assistant","H0009",877.19,15,"N/A","N/A","N/A","Recovery","Alcohol and/or drug services:  (hospital inpatient) Acute detoxification, 15 minutes","N/A",219.3,"N/A","2025-07-01","2026-06-30"]
[28,"Napa","Physician Assistant","T1017",877.19,15,"N/A","N/A","N/A","Care Coordination","Targeted case management, 15 minutes","N/A",219.3,"N/A","2025-07-01","2026-06-30"]
[28,"Napa","Psychologist (Licensed or Waivered)",90791,786.58,60,"N/A","N/A","N/A","Assessment","Psychiatric diagnostic evaluation, 60 minutes","N/A",786.58,"N/A","2025-07-01","2026-06-30"]
[28,"Napa","Psychologist (Licensed or Waivered)",96160,786.58,15,"N/A","N/A","N/A","Care Coordination","Administration of patient-focused health risk assessment instrument (eg, health hazard appraisal) with scoring and documentation, per standardized instrument, 15 minutes","N/A",196.65,"N/A","2025-07-01","2026-06-30"]
[28,"Napa","Psychologist (Licensed or Waivered)","G0541",786.58,23,"N/A","N/A","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",301.52,"N/A","2025-07-01","2026-06-30"]
[28,"Napa","Psychologist (Licensed or Waivered)","H0004",786.58,15,"N/A","N/A","N/A","Individual Counseling","Behavioral health counseling and therapy, 15 minutes","N/A",196.65,"N/A","2025-07-01","2026-06-30"]
[28,"Napa","Psychologist (Licensed or Waivered)","T2021",786.58,15,"N/A","N/A","N/A","Family Therapy","Therapy substitute, 15 minutes","N/A",196.65,"N/A","2025-07-01","2026-06-30"]
[28,"Napa","Registered Nurse",97551,794.44,15,"N/A","N/A","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",198.61,"N/A","2025-07-01","2026-06-30"]
[28,"Napa","Registered Nurse",99425,794.44,30,"N/A","N/A","N/A","Care Coordination","Principal care management services, for a single high-risk disease, each additional 30 minutes provided personally by a physician or other qualified health care professional, per calendar month. Code 99425 is reported in conjunction with 99424, when at least an additional 30 minutes of service time is provided beyond 99424.","N/A",397.22,"N/A","2025-07-01","2026-06-30"]
[28,"Napa","Registered Nurse","G2011",794.44,10,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 5-14 Minutes","N/A",132.41,"N/A","2025-07-01","2026-06-30"]
[28,"Napa","Registered Nurse","H2015",794.44,15,"N/A","N/A","N/A","Recovery","Comprehensive community support services, 15 minutes","N/A",198.61,"N/A","2025-07-01","2026-06-30"]
[28,"Napa","Registered Pharmacist",96203,936.22,15,"N/A","N/A","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",52.01,"N/A","2025-07-01","2026-06-30"]
[28,"Napa","Registered Pharmacist","H0001",936.22,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug assessment, 15 minutes","N/A",234.06,"N/A","2025-07-01","2026-06-30"]
[28,"Napa","Registered Pharmacist","H2017",936.22,15,"N/A","HQ","N/A","Recovery","Psychosocial rehabilitation services, 15 Minutes","N/A",52.01,"N/A","2025-07-01","2026-06-30"]
[29,"Nevada","Certified AOD Counselor","G2011",341.03,10,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 5-14 Minutes","N/A",56.84,"N/A","2025-07-01","2026-06-30"]
[29,"Nevada","Certified AOD Counselor","H0050",341.03,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or Drug Services, brief intervention, 15 minutes","N/A",85.26,"N/A","2025-07-01","2026-06-30"]
[29,"Nevada","Community Health Worker",98962,317.06,30,"N/A","N/A","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",24.39,"N/A","2025-07-01","2026-06-30"]
[29,"Nevada","LCSW (Licensed, Waivered or Registered)",90846,411.15,50,"N/A","N/A","N/A","Family Therapy","Family Psychotherapy (Without the Patient Present), 50 minutes","N/A",342.63,"N/A","2025-07-01","2026-06-30"]
[29,"Nevada","LCSW (Licensed, Waivered or Registered)",97550,411.15,23,"N/A","N/A","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",157.61000000000001,"N/A","2025-07-01","2026-06-30"]
[29,"Nevada","LCSW (Licensed, Waivered or Registered)","G0539",411.15,23,"N/A","N/A","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",157.61000000000001,"N/A","2025-07-01","2026-06-30"]
[29,"Nevada","LCSW (Licensed, Waivered or Registered)","H2017",411.15,15,"N/A","N/A","N/A","Recovery","Psychosocial rehabilitation services, 15 Minutes","N/A",102.79,"N/A","2025-07-01","2026-06-30"]
[29,"Nevada","LCSW (Licensed, Waivered or Registered)","T1013",411.15,"N/A","N/A","N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"N/A","2025-07-01","2026-06-30"]
[29,"Nevada","Licensed Physician",90847,1579.79,50,"N/A","N/A","N/A","Family Therapy","Family Psychotherapy (Conjoint psychotheraphy with Patient Present), 50 minutes","N/A",1316.49,"N/A","2025-07-01","2026-06-30"]
[29,"Nevada","Licensed Physician",97550,1579.79,23,"N/A","N/A","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",605.59,"N/A","2025-07-01","2026-06-30"]
[29,"Nevada","Licensed Physician",99238,1579.79,30,"N/A","N/A","N/A","Discharge","Hospital inpatient or observation discharge day management; 30 minutes or less on the date of the encounter","N/A",789.9,"N/A","2025-07-01","2026-06-30"]
[29,"Nevada","Licensed Physician",99308,1579.79,25,"N/A","N/A","N/A","Assessment","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. 20-29 minutes total time on the date of the encounter.","N/A",658.25,"N/A","2025-07-01","2026-06-30"]
[29,"Nevada","Licensed Physician",99418,1579.79,15,"N/A","N/A","N/A","Assessment","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 (This code does not follow the midpoint rule. A full 15 minutes must be met before one unit of 99418 can be claimed).","N/A",394.95,"N/A","2025-07-01","2026-06-30"]
[29,"Nevada","Licensed Physician",99496,1579.79,75,"N/A","N/A","N/A","Discharge","Transitional Care Management Services with the following required elements: Communication (direct contact, telephone, electronic) with the patient and/or caregiver within 2 business days of discharge. Medical decision making of high complexity during the service period, face-to-face visit within 7 calendar days of discharge, 75 minutes","N/A",1974.74,"N/A","2025-07-01","2026-06-30"]
[29,"Nevada","Licensed Physician","G0541",1579.79,23,"N/A","N/A","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",605.59,"N/A","2025-07-01","2026-06-30"]
[29,"Nevada","Licensed Physician","H0050",1579.79,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or Drug Services, brief intervention, 15 minutes","N/A",394.95,"N/A","2025-07-01","2026-06-30"]
[29,"Nevada","Licensed Physician","T1013",1579.79,"N/A","N/A","N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"N/A","2025-07-01","2026-06-30"]
[29,"Nevada","Licensed Psychiatric Technician",90785,288.99,"N/A","N/A","N/A","N/A","Supplemental","Interactive complexity. There is no assigned time for this code. ","N/A",18.89,"N/A","2025-07-01","2026-06-30"]
[29,"Nevada","Licensed Psychiatric Technician","H0007",288.99,15,"N/A","N/A","N/A","Crisis Intervention","Alcohol and/or drug services; crisis intervention (outpatient), 15 minutes","N/A",72.25,"N/A","2025-07-01","2026-06-30"]
[29,"Nevada","Licensed Psychiatric Technician","H0048",288.99,15,"N/A","N/A","N/A","Assessment","Alcohol and/or other drug testing. Collection and handling only, specimens other than blood, 15 minutes","N/A",72.25,"N/A","2025-07-01","2026-06-30"]
[29,"Nevada","Licensed Vocational Nurse",90882,337.1,15,"N/A","N/A","N/A","Care Coordination","Environmental intervention for medical management purposes on a psychiatric patient's behalf with agencies, employers, or institutions, 15 minutes","N/A",84.28,"N/A","2025-07-01","2026-06-30"]
[29,"Nevada","Licensed Vocational Nurse","G0539",337.1,23,"N/A","N/A","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",129.22,"N/A","2025-07-01","2026-06-30"]
[29,"Nevada","Licensed Vocational Nurse","H0001",337.1,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug assessment, 15 minutes","N/A",84.28,"N/A","2025-07-01","2026-06-30"]
[29,"Nevada","Licensed Vocational Nurse","H0050",337.1,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or Drug Services, brief intervention, 15 minutes","N/A",84.28,"N/A","2025-07-01","2026-06-30"]
[29,"Nevada","Medical Assistant",96171,231.73,15,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; each additional 15 minutes","N/A",57.93,"N/A","2025-07-01","2026-06-30"]
[29,"Nevada","Medical Assistant","H0034",231.73,15,"N/A","N/A","N/A","Medication Services","Medication training and support, 15 minutes","N/A",57.93,"N/A","2025-07-01","2026-06-30"]
[29,"Nevada","Medical Assistant","T1017",231.73,15,"N/A","N/A","N/A","Care Coordination","Targeted case management, 15 minutes","N/A",57.93,"N/A","2025-07-01","2026-06-30"]
[29,"Nevada","MFT/LPCC (Licensed, Waivered or Registered)",97552,411.15,45,"N/A","N/A","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",68.53,"N/A","2025-07-01","2026-06-30"]
[29,"Nevada","MFT/LPCC (Licensed, Waivered or Registered)","G0396",411.15,23,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 15-30 Minutes","N/A",157.61000000000001,"N/A","2025-07-01","2026-06-30"]
[29,"Nevada","MFT/LPCC (Licensed, Waivered or Registered)","H0005",411.15,15,"N/A","N/A","N/A","Group Counseling","Alcohol and/or drug services; group counseling by a clinician, 15 minutes ","N/A",22.84,"N/A","2025-07-01","2026-06-30"]
[29,"Nevada","MFT/LPCC (Licensed, Waivered or Registered)","T2021",411.15,15,"N/A","HQ","N/A","Family Therapy","Therapy substitute, 15 minutes","N/A",22.84,"N/A","2025-07-01","2026-06-30"]
[29,"Nevada","Nurse Practitioner",90865,785.59,90,"N/A","N/A","N/A","Assessment","Nacrosynthesis for psychiatric diagnostic and therapeutic purposes (eg, sodium amobarbital (Amytal) interview), 90 minutes","N/A",1178.3900000000001,"N/A","2025-07-01","2026-06-30"]
[29,"Nevada","Nurse Practitioner",96170,785.59,30,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; initial 30 minutes","N/A",392.8,"N/A","2025-07-01","2026-06-30"]
[29,"Nevada","Nurse Practitioner",99214,785.59,35,"N/A","N/A","N/A","Assessment","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. 30-39 minutes total time on the date of the encounter.","N/A",458.26,"N/A","2025-07-01","2026-06-30"]
[29,"Nevada","Nurse Practitioner",99307,785.59,15,"N/A","N/A","N/A","Assessment","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. 10-19 minutes total time on the date of the encounter for code selection.","N/A",196.4,"N/A","2025-07-01","2026-06-30"]
[29,"Nevada","Nurse Practitioner",99344,785.59,67,"N/A","N/A","N/A","Assessment","\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. 60-74 minutes total time on the date of the encounter.","N/A",877.24,"N/A","2025-07-01","2026-06-30"]
[29,"Nevada","Nurse Practitioner",99442,785.59,16,"N/A","N/A","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",209.49,"N/A","2025-07-01","2026-06-30"]
[29,"Nevada","Nurse Practitioner","G0541",785.59,23,"N/A","N/A","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",301.14,"N/A","2025-07-01","2026-06-30"]
[29,"Nevada","Nurse Practitioner","H0009",785.59,15,"N/A","N/A","N/A","Recovery","Alcohol and/or drug services:  (hospital inpatient) Acute detoxification, 15 minutes","N/A",196.4,"N/A","2025-07-01","2026-06-30"]
[29,"Nevada","Nurse Practitioner","H1000",785.59,15,"N/A","N/A","N/A","Assessment","Prenatal Care, at risk assessment, 15 minutes ","N/A",196.4,"N/A","2025-07-01","2026-06-30"]
[29,"Nevada","Occupational Therapist",90785,547.29999999999995,"N/A","N/A","N/A","N/A","Supplemental","Interactive complexity. There is no assigned time for this code. ","N/A",18.89,"N/A","2025-07-01","2026-06-30"]
[29,"Nevada","Occupational Therapist",96171,547.29999999999995,15,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; each additional 15 minutes","N/A",136.83000000000001,"N/A","2025-07-01","2026-06-30"]
[29,"Nevada","Occupational Therapist","G0543",547.29999999999995,45,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[29,"Nevada","Occupational Therapist","H2015",547.29999999999995,15,"N/A","N/A","N/A","Recovery","Comprehensive community support services, 15 minutes","N/A",136.83000000000001,"N/A","2025-07-01","2026-06-30"]
[29,"Nevada","Other Qualified Practitioner","H2014",309.33,15,"N/A","N/A","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",77.33,"N/A","2025-07-01","2026-06-30"]
[29,"Nevada","Other Qualified Practitioner","H2035",309.33,60,"N/A","N/A","N/A","Recovery","Alcohol and/or other drug treatment program, per hour ","N/A",309.33,"N/A","2025-07-01","2026-06-30"]
[29,"Nevada","Physician Assistant",90889,708.53,15,"N/A","N/A","N/A","Care Coordination","Preparation of report of patient's psychiatric status, history, treatment, or progress (other than for legal or consultative purposes) for other individuals, agencies, or insurance carriers, 15 minutes","N/A",177.13,"N/A","2025-07-01","2026-06-30"]
[29,"Nevada","Physician Assistant",97552,708.53,45,"N/A","N/A","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",118.09,"N/A","2025-07-01","2026-06-30"]
[29,"Nevada","Physician Assistant",99204,708.53,52,"N/A","N/A","N/A","Assessment","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. 45-59 minutes total time on the date of the encounter.","N/A",614.05999999999995,"N/A","2025-07-01","2026-06-30"]
[29,"Nevada","Physician Assistant",99304,708.53,30,"N/A","N/A","N/A","Assessment","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. 25-34 minutes total time on the date of the encounter.","N/A",354.27,"N/A","2025-07-01","2026-06-30"]
[29,"Nevada","Physician Assistant",99409,708.53,60,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or substance (other than tobacco) abuse structural screening (eg, AUDIT ,DAST), and brief intervention (SBI) services. 31-1440 minutes. ","N/A",708.53,"N/A","2025-07-01","2026-06-30"]
[29,"Nevada","Physician Assistant",99425,708.53,30,"N/A","N/A","N/A","Care Coordination","Principal care management services, for a single high-risk disease, each additional 30 minutes provided personally by a physician or other qualified health care professional, per calendar month. Code 99425 is reported in conjunction with 99424, when at least an additional 30 minutes of service time is provided beyond 99424.","N/A",354.27,"N/A","2025-07-01","2026-06-30"]
[29,"Nevada","Physician Assistant","G0397",708.53,60,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 31-1440 Minutes","N/A",708.53,"N/A","2025-07-01","2026-06-30"]
[29,"Nevada","Physician Assistant","H0048",708.53,15,"N/A","N/A","N/A","Assessment","Alcohol and/or other drug testing. Collection and handling only, specimens other than blood, 15 minutes","N/A",177.13,"N/A","2025-07-01","2026-06-30"]
[29,"Nevada","Physician Assistant","H2015",708.53,15,"N/A","N/A","N/A","Recovery","Comprehensive community support services, 15 minutes","N/A",177.13,"N/A","2025-07-01","2026-06-30"]
[29,"Nevada","Psychologist (Licensed or Waivered)",90847,635.34,50,"N/A","N/A","N/A","Family Therapy","Family Psychotherapy (Conjoint psychotheraphy with Patient Present), 50 minutes","N/A",529.45000000000005,"N/A","2025-07-01","2026-06-30"]
[29,"Nevada","Psychologist (Licensed or Waivered)",96202,635.34,60,"N/A","N/A","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",141.19,"N/A","2025-07-01","2026-06-30"]
[29,"Nevada","Psychologist (Licensed or Waivered)","G0396",635.34,23,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 15-30 Minutes","N/A",243.55,"N/A","2025-07-01","2026-06-30"]
[29,"Nevada","Psychologist (Licensed or Waivered)","G0543",635.34,45,"N/A","N/A","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",105.89,"N/A","2025-07-01","2026-06-30"]
[29,"Nevada","Psychologist (Licensed or Waivered)","T1017",635.34,15,"N/A","N/A","N/A","Care Coordination","Targeted case management, 15 minutes","N/A",158.84,"N/A","2025-07-01","2026-06-30"]
[29,"Nevada","Registered Nurse",90785,641.69000000000005,"N/A","N/A","N/A","N/A","Supplemental","Interactive complexity. There is no assigned time for this code. ","N/A",18.89,"N/A","2025-07-01","2026-06-30"]
[29,"Nevada","Registered Nurse",99238,641.69000000000005,30,"N/A","N/A","N/A","Discharge","Hospital inpatient or observation discharge day management; 30 minutes or less on the date of the encounter","N/A",320.85000000000002,"N/A","2025-07-01","2026-06-30"]
[29,"Nevada","Registered Nurse","H0004",641.69000000000005,15,"N/A","N/A","N/A","Individual Counseling","Behavioral health counseling and therapy, 15 minutes","N/A",160.41999999999999,"N/A","2025-07-01","2026-06-30"]
[29,"Nevada","Registered Nurse","H0050",641.69000000000005,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or Drug Services, brief intervention, 15 minutes","N/A",160.41999999999999,"N/A","2025-07-01","2026-06-30"]
[29,"Nevada","Registered Nurse","T1006",641.69000000000005,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or substance abuse services, family/couple counseling, 15 minutes","N/A",160.41999999999999,"N/A","2025-07-01","2026-06-30"]
[29,"Nevada","Registered Pharmacist",97551,756.21,15,"N/A","N/A","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",189.05,"N/A","2025-07-01","2026-06-30"]
[29,"Nevada","Registered Pharmacist","H0009",756.21,15,"N/A","N/A","N/A","Recovery","Alcohol and/or drug services:  (hospital inpatient) Acute detoxification, 15 minutes","N/A",189.05,"N/A","2025-07-01","2026-06-30"]
[29,"Nevada","Registered Pharmacist","H2021",756.21,15,"N/A","N/A","N/A","Treatment Planning","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",189.05,"N/A","2025-07-01","2026-06-30"]
[30,"Orange","Certified AOD Counselor","H0004",345.81,15,"N/A","N/A","N/A","Individual Counseling","Behavioral health counseling and therapy, 15 minutes","N/A",86.45,"N/A","2025-07-01","2026-06-30"]
[30,"Orange","Certified AOD Counselor","T1017",345.81,15,"N/A","N/A","N/A","Care Coordination","Targeted case management, 15 minutes","N/A",86.45,"N/A","2025-07-01","2026-06-30"]
[30,"Orange","Community Health Worker","G0022",321.5,30,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[30,"Orange","LCSW (Licensed, Waivered or Registered)",96160,416.91,15,"N/A","N/A","N/A","Care Coordination","Administration of patient-focused health risk assessment instrument (eg, health hazard appraisal) with scoring and documentation, per standardized instrument, 15 minutes","N/A",104.23,"N/A","2025-07-01","2026-06-30"]
[30,"Orange","LCSW (Licensed, Waivered or Registered)","G0540",416.91,15,"N/A","N/A","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",104.23,"N/A","2025-07-01","2026-06-30"]
[30,"Orange","LCSW (Licensed, Waivered or Registered)","H2014",416.91,15,"N/A","HQ","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",23.16,"N/A","2025-07-01","2026-06-30"]
[30,"Orange","LCSW (Licensed, Waivered or Registered)","H2027",416.91,15,"N/A","N/A","N/A","Treatment Planning","Psychoeducational Service, 15 minutes","N/A",104.23,"N/A","2025-07-01","2026-06-30"]
[30,"Orange","Licensed Physician",90882,1601.92,15,"N/A","N/A","N/A","Care Coordination","Environmental intervention for medical management purposes on a psychiatric patient's behalf with agencies, employers, or institutions, 15 minutes","N/A",400.48,"N/A","2025-07-01","2026-06-30"]
[30,"Orange","Licensed Physician",96203,1601.92,15,"N/A","N/A","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",89,"N/A","2025-07-01","2026-06-30"]
[30,"Orange","Licensed Physician",99239,1601.92,60,"N/A","N/A","N/A","Discharge","Hospital inpatient or observation discharge day management; 30-1440 minutes on the date of the encounter","N/A",1601.92,"N/A","2025-07-01","2026-06-30"]
[30,"Orange","Licensed Physician",99304,1601.92,30,"N/A","N/A","N/A","Assessment","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. 25-34 minutes total time on the date of the encounter.","N/A",800.96,"N/A","2025-07-01","2026-06-30"]
[30,"Orange","Licensed Physician",99409,1601.92,60,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or substance (other than tobacco) abuse structural screening (eg, AUDIT ,DAST), and brief intervention (SBI) services. 31-1440 minutes. ","N/A",1601.92,"N/A","2025-07-01","2026-06-30"]
[30,"Orange","Licensed Physician",99425,1601.92,30,"N/A","N/A","N/A","Care Coordination","Principal care management services, for a single high-risk disease, each additional 30 minutes provided personally by a physician or other qualified health care professional, per calendar month. Code 99425 is reported in conjunction with 99424, when at least an additional 30 minutes of service time is provided beyond 99424.","N/A",800.96,"N/A","2025-07-01","2026-06-30"]
[30,"Orange","Licensed Physician","G0396",1601.92,23,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 15-30 Minutes","N/A",614.07000000000005,"N/A","2025-07-01","2026-06-30"]
[30,"Orange","Licensed Physician","H0034",1601.92,15,"N/A","N/A","N/A","Medication Services","Medication training and support, 15 minutes","N/A",400.48,"N/A","2025-07-01","2026-06-30"]
[30,"Orange","Licensed Physician","H2014",1601.92,15,"N/A","N/A","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",400.48,"N/A","2025-07-01","2026-06-30"]
[30,"Orange","Licensed Physician","T2021",1601.92,15,"N/A","HQ","N/A","Family Therapy","Therapy substitute, 15 minutes","N/A",89,"N/A","2025-07-01","2026-06-30"]
[30,"Orange","Licensed Psychiatric Technician","G0539",293.02999999999997,23,"N/A","N/A","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",112.33,"N/A","2025-07-01","2026-06-30"]
[30,"Orange","Licensed Psychiatric Technician","H0009",293.02999999999997,15,"N/A","N/A","N/A","Recovery","Alcohol and/or drug services:  (hospital inpatient) Acute detoxification, 15 minutes","N/A",73.260000000000005,"N/A","2025-07-01","2026-06-30"]
[30,"Orange","Licensed Psychiatric Technician","H0050",293.02999999999997,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or Drug Services, brief intervention, 15 minutes","N/A",73.260000000000005,"N/A","2025-07-01","2026-06-30"]
[30,"Orange","Licensed Vocational Nurse",96170,341.82,30,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; initial 30 minutes","N/A",170.91,"N/A","2025-07-01","2026-06-30"]
[30,"Orange","Licensed Vocational Nurse","G0542",341.82,15,"N/A","N/A","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",85.46,"N/A","2025-07-01","2026-06-30"]
[30,"Orange","Licensed Vocational Nurse","H0007",341.82,15,"N/A","N/A","N/A","Crisis Intervention","Alcohol and/or drug services; crisis intervention (outpatient), 15 minutes","N/A",85.46,"N/A","2025-07-01","2026-06-30"]
[30,"Orange","Licensed Vocational Nurse","H2035",341.82,60,"N/A","N/A","N/A","Recovery","Alcohol and/or other drug treatment program, per hour ","N/A",341.82,"N/A","2025-07-01","2026-06-30"]
[30,"Orange","Medical Assistant","H0001",234.97,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug assessment, 15 minutes","N/A",58.74,"N/A","2025-07-01","2026-06-30"]
[30,"Orange","Medical Assistant","H0049",234.97,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening, 15 minutes","N/A",58.74,"N/A","2025-07-01","2026-06-30"]
[30,"Orange","MFT/LPCC (Licensed, Waivered or Registered)",96171,416.91,15,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; each additional 15 minutes","N/A",104.23,"N/A","2025-07-01","2026-06-30"]
[30,"Orange","MFT/LPCC (Licensed, Waivered or Registered)","G0323",416.91,60,"N/A","N/A","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",416.91,"N/A","2025-07-01","2026-06-30"]
[30,"Orange","MFT/LPCC (Licensed, Waivered or Registered)","G0539",416.91,23,"N/A","N/A","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",159.82,"N/A","2025-07-01","2026-06-30"]
[30,"Orange","MFT/LPCC (Licensed, Waivered or Registered)","T1006",416.91,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or substance abuse services, family/couple counseling, 15 minutes","N/A",104.23,"N/A","2025-07-01","2026-06-30"]
[30,"Orange","MFT/LPCC (Licensed, Waivered or Registered)","T2021",416.91,15,"N/A",22,"N/A","Family Therapy","Therapy substitute, 15 minutes","N/A",107.24,"N/A","2025-07-01","2026-06-30"]
[30,"Orange","Nurse Practitioner",90885,796.59,60,"N/A","N/A","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",796.59,"N/A","2025-07-01","2026-06-30"]
[30,"Orange","Nurse Practitioner",96203,796.59,15,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[30,"Orange","Nurse Practitioner",99234,796.59,57,"N/A","N/A","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. 45-69 minutes total time on the date of the encounter.","N/A",756.76,"N/A","2025-07-01","2026-06-30"]
[30,"Orange","Nurse Practitioner",99309,796.59,37,"N/A","N/A","N/A","Assessment","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. 30-44 minutes total time on the date of the encounter.\t","N/A",491.23,"N/A","2025-07-01","2026-06-30"]
[30,"Orange","Nurse Practitioner",99424,796.59,30,"N/A","N/A","N/A","Care Coordination","Principal care management services, for a single high-risk disease, first 30 minutes provided personally by a physician or other qualified health care professional, per calendar month. At least 30 minutes of service must be provided before 1 unit of this code can be reported.","N/A",398.3,"N/A","2025-07-01","2026-06-30"]
[30,"Orange","Nurse Practitioner",99491,796.59,30,"N/A","N/A","N/A","Care Coordination","Chronic care management services, first 30 minutes provided personally by a physician or other qualified health care professional, per calendar month. At least 30 minutes of service must be provided before 1 unit of this code can be reported.","N/A",398.3,"N/A","2025-07-01","2026-06-30"]
[30,"Orange","Nurse Practitioner","G0543",796.59,45,"N/A","N/A","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",132.77000000000001,"N/A","2025-07-01","2026-06-30"]
[30,"Orange","Nurse Practitioner","H0034",796.59,15,"N/A","N/A","N/A","Medication Services","Medication training and support, 15 minutes","N/A",199.15,"N/A","2025-07-01","2026-06-30"]
[30,"Orange","Nurse Practitioner","T2021",796.59,15,"N/A","HQ","N/A","Family Therapy","Therapy substitute, 15 minutes","N/A",44.26,"N/A","2025-07-01","2026-06-30"]
[30,"Orange","Occupational Therapist",90887,554.96,50,"N/A","N/A","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",462.47,"N/A","2025-07-01","2026-06-30"]
[30,"Orange","Occupational Therapist","H0005",554.96,15,"N/A","N/A","N/A","Group Counseling","Alcohol and/or drug services; group counseling by a clinician, 15 minutes ","N/A",30.83,"N/A","2025-07-01","2026-06-30"]
[30,"Orange","Occupational Therapist","H2027",554.96,15,"N/A","N/A","N/A","Treatment Planning","Psychoeducational Service, 15 minutes","N/A",138.74,"N/A","2025-07-01","2026-06-30"]
[30,"Orange","Other Qualified Practitioner",90882,313.66000000000003,15,"N/A","N/A","N/A","Care Coordination","Environmental intervention for medical management purposes on a psychiatric patient's behalf with agencies, employers, or institutions, 15 minutes","N/A",78.42,"N/A","2025-07-01","2026-06-30"]
[30,"Orange","Other Qualified Practitioner","T1017",313.66000000000003,15,"N/A","N/A","N/A","Care Coordination","Targeted case management, 15 minutes","N/A",78.42,"N/A","2025-07-01","2026-06-30"]
[30,"Orange","Physician Assistant",90865,718.45,90,"N/A","N/A","N/A","Assessment","Nacrosynthesis for psychiatric diagnostic and therapeutic purposes (eg, sodium amobarbital (Amytal) interview), 90 minutes","N/A",1077.68,"N/A","2025-07-01","2026-06-30"]
[30,"Orange","Physician Assistant",96131,718.45,60,"N/A","N/A","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",718.45,"N/A","2025-07-01","2026-06-30"]
[30,"Orange","Physician Assistant",98967,718.45,16,"N/A","N/A","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",191.59,"N/A","2025-07-01","2026-06-30"]
[30,"Orange","Physician Assistant",99306,718.45,57,"N/A","N/A","N/A","Assessment","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. 50-64 minutes total time on the date of the encounter.","N/A",682.53,"N/A","2025-07-01","2026-06-30"]
[30,"Orange","Physician Assistant",99368,718.45,60,"N/A","N/A","N/A","Care Coordination","Medical team conference with interdisciplinary team of health care professionals, patient and/or family not present, 30-1440 minutes; participation by nonphysician qualified health care professional","N/A",718.45,"N/A","2025-07-01","2026-06-30"]
[30,"Orange","Physician Assistant",99416,718.45,30,"N/A","N/A","N/A","Assessment","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",359.23,"N/A","2025-07-01","2026-06-30"]
[30,"Orange","Physician Assistant","G0541",718.45,23,"N/A","N/A","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",275.41000000000003,"N/A","2025-07-01","2026-06-30"]
[30,"Orange","Physician Assistant","H0009",718.45,15,"N/A","N/A","N/A","Recovery","Alcohol and/or drug services:  (hospital inpatient) Acute detoxification, 15 minutes","N/A",179.61,"N/A","2025-07-01","2026-06-30"]
[30,"Orange","Physician Assistant","H0050",718.45,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or Drug Services, brief intervention, 15 minutes","N/A",179.61,"N/A","2025-07-01","2026-06-30"]
[30,"Orange","Physician Assistant","T2024",718.45,15,"N/A","N/A","N/A","Assessment","Assessment substitute, 15 minutes","N/A",179.61,"N/A","2025-07-01","2026-06-30"]
[30,"Orange","Psychologist (Licensed or Waivered)",90885,644.24,60,"N/A","N/A","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",644.24,"N/A","2025-07-01","2026-06-30"]
[30,"Orange","Psychologist (Licensed or Waivered)",97550,644.24,23,"N/A","N/A","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",246.96,"N/A","2025-07-01","2026-06-30"]
[30,"Orange","Psychologist (Licensed or Waivered)","H0003",644.24,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening. Laboratory analysis of specimens for presence of alcohol and/or drugs, 15 minutes","N/A",161.06,"N/A","2025-07-01","2026-06-30"]
[30,"Orange","Psychologist (Licensed or Waivered)","H2035",644.24,60,"N/A","N/A","N/A","Recovery","Alcohol and/or other drug treatment program, per hour ","N/A",644.24,"N/A","2025-07-01","2026-06-30"]
[30,"Orange","Psychologist (Licensed or Waivered)","T2021",644.24,15,"N/A","N/A","N/A","Family Therapy","Therapy substitute, 15 minutes","N/A",161.06,"N/A","2025-07-01","2026-06-30"]
[30,"Orange","Registered Nurse",96202,650.67999999999995,60,"N/A","N/A","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",144.6,"N/A","2025-07-01","2026-06-30"]
[30,"Orange","Registered Nurse","G0541",650.67999999999995,23,"N/A","N/A","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",249.43,"N/A","2025-07-01","2026-06-30"]
[30,"Orange","Registered Nurse","H0007",650.67999999999995,15,"N/A","N/A","N/A","Crisis Intervention","Alcohol and/or drug services; crisis intervention (outpatient), 15 minutes","N/A",162.66999999999999,"N/A","2025-07-01","2026-06-30"]
[30,"Orange","Registered Nurse","H2014",650.67999999999995,15,"N/A","HQ","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",36.15,"N/A","2025-07-01","2026-06-30"]
[30,"Orange","Registered Pharmacist","G0396",766.8,23,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 15-30 Minutes","N/A",293.94,"N/A","2025-07-01","2026-06-30"]
[30,"Orange","Registered Pharmacist","H0008",766.8,15,"N/A","N/A","N/A","Recovery","Alcohol and/or drug services: (hospital inpatient) Subacute detoxification, 15 minutes","N/A",191.7,"N/A","2025-07-01","2026-06-30"]
[30,"Orange","Registered Pharmacist","H0034",766.8,15,"N/A","N/A","N/A","Medication Services","Medication training and support, 15 minutes","N/A",191.7,"N/A","2025-07-01","2026-06-30"]
[31,"Placer","Certified AOD Counselor","H0049",354.37,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening, 15 minutes","N/A",88.59,"N/A","2025-07-01","2026-06-30"]
[31,"Placer","Certified AOD Counselor","H2035",354.37,60,"N/A","N/A","N/A","Recovery","Alcohol and/or other drug treatment program, per hour ","N/A",354.37,"N/A","2025-07-01","2026-06-30"]
[31,"Placer","Community Health Worker",98960,329.46,30,"N/A","N/A","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",164.73,"N/A","2025-07-01","2026-06-30"]
[31,"Placer","LCSW (Licensed, Waivered or Registered)",96202,427.22,60,"N/A","N/A","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",94.94,"N/A","2025-07-01","2026-06-30"]
[31,"Placer","LCSW (Licensed, Waivered or Registered)","G0396",427.22,23,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 15-30 Minutes","N/A",163.77000000000001,"N/A","2025-07-01","2026-06-30"]
[31,"Placer","LCSW (Licensed, Waivered or Registered)","G0543",427.22,45,"N/A","N/A","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",71.2,"N/A","2025-07-01","2026-06-30"]
[31,"Placer","LCSW (Licensed, Waivered or Registered)","H2015",427.22,15,"N/A","N/A","N/A","Recovery","Comprehensive community support services, 15 minutes","N/A",106.81,"N/A","2025-07-01","2026-06-30"]
[31,"Placer","Licensed Physician",90846,1641.55,50,"N/A","N/A","N/A","Family Therapy","Family Psychotherapy (Without the Patient Present), 50 minutes","N/A",1367.96,"N/A","2025-07-01","2026-06-30"]
[31,"Placer","Licensed Physician",90887,1641.55,50,"N/A","N/A","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",1367.96,"N/A","2025-07-01","2026-06-30"]
[31,"Placer","Licensed Physician",97551,1641.55,15,"N/A","N/A","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",410.39,"N/A","2025-07-01","2026-06-30"]
[31,"Placer","Licensed Physician",99306,1641.55,57,"N/A","N/A","N/A","Assessment","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. 50-64 minutes total time on the date of the encounter.","N/A",1559.47,"N/A","2025-07-01","2026-06-30"]
[31,"Placer","Licensed Physician",99345,1641.55,82,"N/A","N/A","N/A","Assessment","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. 75-89 minutes total time on the date of the encounter.","N/A",2243.4499999999998,"N/A","2025-07-01","2026-06-30"]
[31,"Placer","Licensed Physician",99416,1641.55,30,"N/A","N/A","N/A","Assessment","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",820.78,"N/A","2025-07-01","2026-06-30"]
[31,"Placer","Licensed Physician","G0540",1641.55,15,"N/A","N/A","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",410.39,"N/A","2025-07-01","2026-06-30"]
[31,"Placer","Licensed Physician","H0008",1641.55,15,"N/A","N/A","N/A","Recovery","Alcohol and/or drug services: (hospital inpatient) Subacute detoxification, 15 minutes","N/A",410.39,"N/A","2025-07-01","2026-06-30"]
[31,"Placer","Licensed Physician","H0049",1641.55,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening, 15 minutes","N/A",410.39,"N/A","2025-07-01","2026-06-30"]
[31,"Placer","Licensed Physician","T2021",1641.55,15,"N/A",22,"N/A","Family Therapy","Therapy substitute, 15 minutes","N/A",413.4,"N/A","2025-07-01","2026-06-30"]
[31,"Placer","Licensed Psychiatric Technician","G0397",300.27999999999997,60,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 31-1440 Minutes","N/A",300.27999999999997,"N/A","2025-07-01","2026-06-30"]
[31,"Placer","Licensed Psychiatric Technician","G0541",300.27999999999997,23,"N/A","N/A","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",115.11,"N/A","2025-07-01","2026-06-30"]
[31,"Placer","Licensed Psychiatric Technician","H0034",300.27999999999997,15,"N/A","HQ","N/A","Medication Services","Medication training and support, 15 minutes","N/A",16.68,"N/A","2025-07-01","2026-06-30"]
[31,"Placer","Licensed Vocational Nurse",90785,350.28,"N/A","N/A","N/A","N/A","Supplemental","Interactive complexity. There is no assigned time for this code. ","N/A",18.89,"N/A","2025-07-01","2026-06-30"]
[31,"Placer","Licensed Vocational Nurse",96202,350.28,60,"N/A","N/A","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",77.84,"N/A","2025-07-01","2026-06-30"]
[31,"Placer","Licensed Vocational Nurse","H0001",350.28,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug assessment, 15 minutes","N/A",87.57,"N/A","2025-07-01","2026-06-30"]
[31,"Placer","Licensed Vocational Nurse","H2017",350.28,15,"N/A","HQ","N/A","Recovery","Psychosocial rehabilitation services, 15 Minutes","N/A",19.46,"N/A","2025-07-01","2026-06-30"]
[31,"Placer","Licensed Vocational Nurse","T1013",350.28,"N/A","N/A","N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"N/A","2025-07-01","2026-06-30"]
[31,"Placer","Medical Assistant","H0033",240.79,15,"N/A","N/A","N/A","Medication Services","Medication administration, direct observation, 15 minutes","N/A",60.2,"N/A","2025-07-01","2026-06-30"]
[31,"Placer","MFT/LPCC (Licensed, Waivered or Registered)",90847,427.22,50,"N/A","N/A","N/A","Family Therapy","Family Psychotherapy (Conjoint psychotheraphy with Patient Present), 50 minutes","N/A",356.02,"N/A","2025-07-01","2026-06-30"]
[31,"Placer","MFT/LPCC (Licensed, Waivered or Registered)",96203,427.22,15,"N/A","N/A","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",23.73,"N/A","2025-07-01","2026-06-30"]
[31,"Placer","MFT/LPCC (Licensed, Waivered or Registered)","G0539",427.22,23,"N/A","N/A","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",163.77000000000001,"N/A","2025-07-01","2026-06-30"]
[31,"Placer","MFT/LPCC (Licensed, Waivered or Registered)","H2014",427.22,15,"N/A","HQ","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",23.73,"N/A","2025-07-01","2026-06-30"]
[31,"Placer","MFT/LPCC (Licensed, Waivered or Registered)","T1013",427.22,"N/A","N/A","N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"N/A","2025-07-01","2026-06-30"]
[31,"Placer","Nurse Practitioner",90785,816.3,"N/A","N/A","N/A","N/A","Supplemental","Interactive complexity. There is no assigned time for this code. ","N/A",18.89,"N/A","2025-07-01","2026-06-30"]
[31,"Placer","Nurse Practitioner",98966,816.3,8,"N/A","N/A","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",108.84,"N/A","2025-07-01","2026-06-30"]
[31,"Placer","Nurse Practitioner",99205,816.3,67,"N/A","N/A","N/A","Assessment","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. 60-74 minutes total time on the date of the encounter.","N/A",911.54,"N/A","2025-07-01","2026-06-30"]
[31,"Placer","Nurse Practitioner",99307,816.3,15,"N/A","N/A","N/A","Assessment","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. 10-19 minutes total time on the date of the encounter for code selection.","N/A",204.08,"N/A","2025-07-01","2026-06-30"]
[31,"Placer","Nurse Practitioner",99415,816.3,60,"N/A","N/A","N/A","Assessment","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",816.3,"N/A","2025-07-01","2026-06-30"]
[31,"Placer","Nurse Practitioner",99437,816.3,30,"N/A","N/A","N/A","Care Coordination","Chronic care management services, each additional 30 minutes by a physician or other qualified health care professional, per calendar month. Code 99437 is reported in conjunction with 99491, when at least an additional 30 minutes of service time is provided beyond 99491.","N/A",408.15,"N/A","2025-07-01","2026-06-30"]
[31,"Placer","Nurse Practitioner",99496,816.3,75,"N/A","N/A","N/A","Discharge","Transitional Care Management Services with the following required elements: Communication (direct contact, telephone, electronic) with the patient and/or caregiver within 2 business days of discharge. Medical decision making of high complexity during the service period, face-to-face visit within 7 calendar days of discharge, 75 minutes","N/A",1020.38,"N/A","2025-07-01","2026-06-30"]
[31,"Placer","Nurse Practitioner","H0049",816.3,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening, 15 minutes","N/A",204.08,"N/A","2025-07-01","2026-06-30"]
[31,"Placer","Nurse Practitioner","H0050",816.3,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or Drug Services, brief intervention, 15 minutes","N/A",204.08,"N/A","2025-07-01","2026-06-30"]
[31,"Placer","Nurse Practitioner","T2021",816.3,15,"N/A",22,"N/A","Family Therapy","Therapy substitute, 15 minutes","N/A",207.09,"N/A","2025-07-01","2026-06-30"]
[31,"Placer","Occupational Therapist","G0542",568.69000000000005,15,"N/A","N/A","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",142.16999999999999,"N/A","2025-07-01","2026-06-30"]
[31,"Placer","Occupational Therapist","H0033",568.69000000000005,15,"N/A","N/A","N/A","Medication Services","Medication administration, direct observation, 15 minutes","N/A",142.16999999999999,"N/A","2025-07-01","2026-06-30"]
[31,"Placer","Occupational Therapist","T1013",568.69000000000005,"N/A","N/A","N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"N/A","2025-07-01","2026-06-30"]
[31,"Placer","Other Qualified Practitioner","H2021",321.42,15,"N/A","N/A","N/A","Treatment Planning","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",80.36,"N/A","2025-07-01","2026-06-30"]
[31,"Placer","Other Qualified Practitioner","T1013",321.42,"N/A","N/A","N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"N/A","2025-07-01","2026-06-30"]
[31,"Placer","Physician Assistant",90885,736.23,60,"N/A","N/A","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",736.23,"N/A","2025-07-01","2026-06-30"]
[31,"Placer","Physician Assistant",99203,736.23,37,"N/A","N/A","N/A","Assessment","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. 30-44 minutes total time on the date of the encounter.","N/A",454.01,"N/A","2025-07-01","2026-06-30"]
[31,"Placer","Physician Assistant",99238,736.23,30,"N/A","N/A","N/A","Discharge","Hospital inpatient or observation discharge day management; 30 minutes or less on the date of the encounter","N/A",368.12,"N/A","2025-07-01","2026-06-30"]
[31,"Placer","Physician Assistant",99308,736.23,25,"N/A","N/A","N/A","Assessment","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. 20-29 minutes total time on the date of the encounter.","N/A",306.76,"N/A","2025-07-01","2026-06-30"]
[31,"Placer","Physician Assistant",99418,736.23,15,"N/A","N/A","N/A","Assessment","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 (This code does not follow the midpoint rule. A full 15 minutes must be met before one unit of 99418 can be claimed).","N/A",184.06,"N/A","2025-07-01","2026-06-30"]
[31,"Placer","Physician Assistant",99496,736.23,75,"N/A","N/A","N/A","Discharge","Transitional Care Management Services with the following required elements: Communication (direct contact, telephone, electronic) with the patient and/or caregiver within 2 business days of discharge. Medical decision making of high complexity during the service period, face-to-face visit within 7 calendar days of discharge, 75 minutes","N/A",920.29,"N/A","2025-07-01","2026-06-30"]
[31,"Placer","Physician Assistant","G0543",736.23,45,"N/A","N/A","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",122.71,"N/A","2025-07-01","2026-06-30"]
[31,"Placer","Physician Assistant","H0034",736.23,15,"N/A","HQ","N/A","Medication Services","Medication training and support, 15 minutes","N/A",40.9,"N/A","2025-07-01","2026-06-30"]
[31,"Placer","Physician Assistant","T1017",736.23,15,"N/A","N/A","N/A","Care Coordination","Targeted case management, 15 minutes","N/A",184.06,"N/A","2025-07-01","2026-06-30"]
[31,"Placer","Psychologist (Licensed or Waivered)",90791,660.18,60,"N/A","N/A","N/A","Assessment","Psychiatric diagnostic evaluation, 60 minutes","N/A",660.18,"N/A","2025-07-01","2026-06-30"]
[31,"Placer","Psychologist (Licensed or Waivered)",96130,660.18,60,"N/A","N/A","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",660.18,"N/A","2025-07-01","2026-06-30"]
[31,"Placer","Psychologist (Licensed or Waivered)","G0542",660.18,15,"N/A","N/A","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",165.05,"N/A","2025-07-01","2026-06-30"]
[31,"Placer","Psychologist (Licensed or Waivered)","H0005",660.18,15,"N/A","N/A","N/A","Group Counseling","Alcohol and/or drug services; group counseling by a clinician, 15 minutes ","N/A",36.68,"N/A","2025-07-01","2026-06-30"]
[31,"Placer","Psychologist (Licensed or Waivered)","T1007",660.18,15,"N/A","N/A","N/A","Treatment Planning","Alcohol and/or substance abuse services, treatment plan development and/or modification, 15 minutes","N/A",165.05,"N/A","2025-07-01","2026-06-30"]
[31,"Placer","Registered Nurse",97551,666.78,15,"N/A","N/A","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",166.7,"N/A","2025-07-01","2026-06-30"]
[31,"Placer","Registered Nurse","G0397",666.78,60,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 31-1440 Minutes","N/A",666.78,"N/A","2025-07-01","2026-06-30"]
[31,"Placer","Registered Nurse","G2011",666.78,10,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 5-14 Minutes","N/A",111.13,"N/A","2025-07-01","2026-06-30"]
[31,"Placer","Registered Nurse","H2021",666.78,15,"N/A","N/A","N/A","Treatment Planning","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",166.7,"N/A","2025-07-01","2026-06-30"]
[31,"Placer","Registered Pharmacist",97550,785.77,23,"N/A","N/A","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",301.20999999999998,"N/A","2025-07-01","2026-06-30"]
[31,"Placer","Registered Pharmacist","G0539",785.77,23,"N/A","N/A","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",301.20999999999998,"N/A","2025-07-01","2026-06-30"]
[31,"Placer","Registered Pharmacist","H0033",785.77,15,"N/A","N/A","N/A","Medication Services","Medication administration, direct observation, 15 minutes","N/A",196.44,"N/A","2025-07-01","2026-06-30"]
[33,"Riverside","Certified AOD Counselor","G2011",448.38,10,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 5-14 Minutes","N/A",74.73,"N/A","2025-07-01","2026-06-30"]
[33,"Riverside","Certified AOD Counselor","H2014",448.38,15,"N/A","HQ","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",24.91,"N/A","2025-07-01","2026-06-30"]
[33,"Riverside","Certified AOD Counselor","T1007",448.38,15,"N/A","N/A","N/A","Treatment Planning","Alcohol and/or substance abuse services, treatment plan development and/or modification, 15 minutes","N/A",112.1,"N/A","2025-07-01","2026-06-30"]
[33,"Riverside","LCSW (Licensed, Waivered or Registered)",90889,567.59,15,"N/A","N/A","N/A","Care Coordination","Preparation of report of patient's psychiatric status, history, treatment, or progress (other than for legal or consultative purposes) for other individuals, agencies, or insurance carriers, 15 minutes","N/A",141.9,"N/A","2025-07-01","2026-06-30"]
[33,"Riverside","LCSW (Licensed, Waivered or Registered)",97550,567.59,23,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[33,"Riverside","LCSW (Licensed, Waivered or Registered)","G0539",567.59,23,"N/A","N/A","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",217.58,"N/A","2025-07-01","2026-06-30"]
[33,"Riverside","LCSW (Licensed, Waivered or Registered)","H2027",567.59,15,"N/A","N/A","N/A","Treatment Planning","Psychoeducational Service, 15 minutes","N/A",141.9,"N/A","2025-07-01","2026-06-30"]
[33,"Riverside","LCSW (Licensed, Waivered or Registered)","T2024",567.59,15,"N/A","N/A","N/A","Assessment","Assessment substitute, 15 minutes","N/A",141.9,"N/A","2025-07-01","2026-06-30"]
[33,"Riverside","Licensed Physician",90849,1903.09,84,"N/A","N/A","N/A","Family Therapy","Multiple-family group psychotherapy, 84 minutes","N/A",592.07000000000005,"N/A","2025-07-01","2026-06-30"]
[33,"Riverside","Licensed Physician",99203,1903.09,37,"N/A","N/A","N/A","Assessment","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. 30-44 minutes total time on the date of the encounter.","N/A",1173.57,"N/A","2025-07-01","2026-06-30"]
[33,"Riverside","Licensed Physician",99238,1903.09,30,"N/A","N/A","N/A","Discharge","Hospital inpatient or observation discharge day management; 30 minutes or less on the date of the encounter","N/A",951.55,"N/A","2025-07-01","2026-06-30"]
[33,"Riverside","Licensed Physician",99308,1903.09,25,"N/A","N/A","N/A","Assessment","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. 20-29 minutes total time on the date of the encounter.","N/A",792.95,"N/A","2025-07-01","2026-06-30"]
[33,"Riverside","Licensed Physician",99349,1903.09,50,"N/A","N/A","N/A","Assessment","\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. 40-59 minutes total time on the date of the encounter.","N/A",1585.91,"N/A","2025-07-01","2026-06-30"]
[33,"Riverside","Licensed Physician","G0316",1903.09,15,"N/A","N/A","N/A","Assessment","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",475.77,"N/A","2025-07-01","2026-06-30"]
[33,"Riverside","Licensed Physician","G0542",1903.09,15,"N/A","N/A","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",475.77,"N/A","2025-07-01","2026-06-30"]
[33,"Riverside","Licensed Physician","H0033",1903.09,15,"N/A","N/A","N/A","Medication Services","Medication administration, direct observation, 15 minutes","N/A",475.77,"N/A","2025-07-01","2026-06-30"]
[33,"Riverside","Licensed Physician","T1013",1903.09,"N/A","N/A","N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"N/A","2025-07-01","2026-06-30"]
[33,"Riverside","Licensed Psychiatric Technician",90785,348.13,"N/A","N/A","N/A","N/A","Supplemental","Interactive complexity. There is no assigned time for this code. ","N/A",18.89,"N/A","2025-07-01","2026-06-30"]
[33,"Riverside","Licensed Psychiatric Technician","G0541",348.13,23,"N/A","N/A","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",133.44999999999999,"N/A","2025-07-01","2026-06-30"]
[33,"Riverside","Licensed Psychiatric Technician","H0049",348.13,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening, 15 minutes","N/A",87.03,"N/A","2025-07-01","2026-06-30"]
[33,"Riverside","Licensed Psychiatric Technician","H2035",348.13,60,"N/A","N/A","N/A","Recovery","Alcohol and/or other drug treatment program, per hour ","N/A",348.13,"N/A","2025-07-01","2026-06-30"]
[33,"Riverside","Licensed Vocational Nurse",90889,406.08,15,"N/A","N/A","N/A","Care Coordination","Preparation of report of patient's psychiatric status, history, treatment, or progress (other than for legal or consultative purposes) for other individuals, agencies, or insurance carriers, 15 minutes","N/A",101.52,"N/A","2025-07-01","2026-06-30"]
[33,"Riverside","Licensed Vocational Nurse","H0001",406.08,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug assessment, 15 minutes","N/A",101.52,"N/A","2025-07-01","2026-06-30"]
[33,"Riverside","Licensed Vocational Nurse","H0050",406.08,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or Drug Services, brief intervention, 15 minutes","N/A",101.52,"N/A","2025-07-01","2026-06-30"]
[33,"Riverside","Medical Assistant",90785,319.89999999999998,"N/A","N/A","N/A","N/A","Supplemental","Interactive complexity. There is no assigned time for this code. ","N/A",18.32,"N/A","2025-07-01","2026-06-30"]
[33,"Riverside","Medical Assistant","H0048",319.89999999999998,15,"N/A","N/A","N/A","Assessment","Alcohol and/or other drug testing. Collection and handling only, specimens other than blood, 15 minutes","N/A",79.98,"N/A","2025-07-01","2026-06-30"]
[33,"Riverside","Medical Assistant","T2024",319.89999999999998,15,"N/A","N/A","N/A","Assessment","Assessment substitute, 15 minutes","N/A",79.98,"N/A","2025-07-01","2026-06-30"]
[33,"Riverside","MFT/LPCC (Licensed, Waivered or Registered)",90882,567.59,15,"N/A","N/A","N/A","Care Coordination","Environmental intervention for medical management purposes on a psychiatric patient's behalf with agencies, employers, or institutions, 15 minutes","N/A",141.9,"N/A","2025-07-01","2026-06-30"]
[33,"Riverside","MFT/LPCC (Licensed, Waivered or Registered)",97551,567.59,15,"N/A","N/A","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",141.9,"N/A","2025-07-01","2026-06-30"]
[33,"Riverside","MFT/LPCC (Licensed, Waivered or Registered)","G0542",567.59,15,"N/A","N/A","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",141.9,"N/A","2025-07-01","2026-06-30"]
[33,"Riverside","MFT/LPCC (Licensed, Waivered or Registered)","H2015",567.59,15,"N/A","N/A","N/A","Recovery","Comprehensive community support services, 15 minutes","N/A",141.9,"N/A","2025-07-01","2026-06-30"]
[33,"Riverside","MFT/LPCC (Licensed, Waivered or Registered)","T2021",567.59,15,"N/A","HQ","N/A","Family Therapy","Therapy substitute, 15 minutes","N/A",31.53,"N/A","2025-07-01","2026-06-30"]
[33,"Riverside","Nurse Practitioner",96160,1084.52,15,"N/A","N/A","N/A","Care Coordination","Administration of patient-focused health risk assessment instrument (eg, health hazard appraisal) with scoring and documentation, per standardized instrument, 15 minutes","N/A",271.13,"N/A","2025-07-01","2026-06-30"]
[33,"Riverside","Nurse Practitioner",97551,1084.52,15,"N/A","N/A","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",271.13,"N/A","2025-07-01","2026-06-30"]
[33,"Riverside","Nurse Practitioner",99213,1084.52,25,"N/A","N/A","N/A","Assessment","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. 20-29 minutes total time on the date of the encounter.","N/A",451.88,"N/A","2025-07-01","2026-06-30"]
[33,"Riverside","Nurse Practitioner",99310,1084.52,52,"N/A","N/A","N/A","Assessment","\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. 45-59 minutes total time on the date of the encounter.","N/A",939.92,"N/A","2025-07-01","2026-06-30"]
[33,"Riverside","Nurse Practitioner",99417,1084.52,15,"N/A","N/A","N/A","Assessment","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 (This code does not follow the midpoint rule. A  full 15 minutes must be met before one unit of 99417 can be claimed).","N/A",271.13,"N/A","2025-07-01","2026-06-30"]
[33,"Riverside","Nurse Practitioner",99442,1084.52,16,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[33,"Riverside","Nurse Practitioner","H0005",1084.52,15,"N/A","N/A","N/A","Group Counseling","Alcohol and/or drug services; group counseling by a clinician, 15 minutes ","N/A",60.25,"N/A","2025-07-01","2026-06-30"]
[33,"Riverside","Nurse Practitioner","H1000",1084.52,15,"N/A","N/A","N/A","Assessment","Prenatal Care, at risk assessment, 15 minutes ","N/A",271.13,"N/A","2025-07-01","2026-06-30"]
[33,"Riverside","Nurse Practitioner","H2021",1084.52,15,"N/A","N/A","N/A","Treatment Planning","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",271.13,"N/A","2025-07-01","2026-06-30"]
[33,"Riverside","Occupational Therapist",97550,659.3,23,"N/A","N/A","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",252.73,"N/A","2025-07-01","2026-06-30"]
[33,"Riverside","Occupational Therapist","H0001",659.3,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug assessment, 15 minutes","N/A",164.83,"N/A","2025-07-01","2026-06-30"]
[33,"Riverside","Occupational Therapist","H2014",659.3,15,"N/A","HQ","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",36.630000000000003,"N/A","2025-07-01","2026-06-30"]
[33,"Riverside","Other Qualified Practitioner","H2014",372.63,15,"N/A","N/A","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",93.16,"N/A","2025-07-01","2026-06-30"]
[33,"Riverside","Other Qualified Practitioner","H2035",372.63,60,"N/A","N/A","N/A","Recovery","Alcohol and/or other drug treatment program, per hour ","N/A",372.63,"N/A","2025-07-01","2026-06-30"]
[33,"Riverside","Physician Assistant",90887,978.13,50,"N/A","N/A","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",815.11,"N/A","2025-07-01","2026-06-30"]
[33,"Riverside","Physician Assistant",98966,978.13,8,"N/A","N/A","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",130.41999999999999,"N/A","2025-07-01","2026-06-30"]
[33,"Riverside","Physician Assistant",99205,978.13,67,"N/A","N/A","N/A","Assessment","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. 60-74 minutes total time on the date of the encounter.","N/A",1092.25,"N/A","2025-07-01","2026-06-30"]
[33,"Riverside","Physician Assistant",99304,978.13,30,"N/A","N/A","N/A","Assessment","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. 25-34 minutes total time on the date of the encounter.","N/A",489.07,"N/A","2025-07-01","2026-06-30"]
[33,"Riverside","Physician Assistant",99409,978.13,60,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or substance (other than tobacco) abuse structural screening (eg, AUDIT ,DAST), and brief intervention (SBI) services. 31-1440 minutes. ","N/A",978.13,"N/A","2025-07-01","2026-06-30"]
[33,"Riverside","Physician Assistant",99425,978.13,30,"N/A","N/A","N/A","Care Coordination","Principal care management services, for a single high-risk disease, each additional 30 minutes provided personally by a physician or other qualified health care professional, per calendar month. Code 99425 is reported in conjunction with 99424, when at least an additional 30 minutes of service time is provided beyond 99424.","N/A",489.07,"N/A","2025-07-01","2026-06-30"]
[33,"Riverside","Physician Assistant","G0397",978.13,60,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 31-1440 Minutes","N/A",978.13,"N/A","2025-07-01","2026-06-30"]
[33,"Riverside","Physician Assistant","H0049",978.13,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening, 15 minutes","N/A",244.53,"N/A","2025-07-01","2026-06-30"]
[33,"Riverside","Physician Assistant","H2035",978.13,60,"N/A","N/A","N/A","Recovery","Alcohol and/or other drug treatment program, per hour ","N/A",978.13,"N/A","2025-07-01","2026-06-30"]
[33,"Riverside","Physician Assistant","T2021",978.13,15,"N/A","N/A","N/A","Family Therapy","Therapy substitute, 15 minutes","N/A",244.53,"N/A","2025-07-01","2026-06-30"]
[33,"Riverside","Psychologist (Licensed or Waivered)",96202,877.1,60,"N/A","N/A","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",194.91,"N/A","2025-07-01","2026-06-30"]
[33,"Riverside","Psychologist (Licensed or Waivered)","G0396",877.1,23,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 15-30 Minutes","N/A",336.22,"N/A","2025-07-01","2026-06-30"]
[33,"Riverside","Psychologist (Licensed or Waivered)","H0001",877.1,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug assessment, 15 minutes","N/A",219.28,"N/A","2025-07-01","2026-06-30"]
[33,"Riverside","Psychologist (Licensed or Waivered)","T2021",877.1,15,"N/A","HQ","N/A","Family Therapy","Therapy substitute, 15 minutes","N/A",48.73,"N/A","2025-07-01","2026-06-30"]
[33,"Riverside","Registered Nurse",96171,885.86,15,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; each additional 15 minutes","N/A",221.47,"N/A","2025-07-01","2026-06-30"]
[33,"Riverside","Registered Nurse",99238,885.86,30,"N/A","N/A","N/A","Discharge","Hospital inpatient or observation discharge day management; 30 minutes or less on the date of the encounter","N/A",442.93,"N/A","2025-07-01","2026-06-30"]
[33,"Riverside","Registered Nurse","G0540",885.86,15,"N/A","N/A","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",221.47,"N/A","2025-07-01","2026-06-30"]
[33,"Riverside","Registered Nurse","H2014",885.86,15,"N/A","HQ","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",49.21,"N/A","2025-07-01","2026-06-30"]
[33,"Riverside","Registered Nurse","T1007",885.86,15,"N/A","N/A","N/A","Treatment Planning","Alcohol and/or substance abuse services, treatment plan development and/or modification, 15 minutes","N/A",221.47,"N/A","2025-07-01","2026-06-30"]
[33,"Riverside","Registered Pharmacist",97552,1043.96,45,"N/A","N/A","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",173.99,"N/A","2025-07-01","2026-06-30"]
[33,"Riverside","Registered Pharmacist","H0048",1043.96,15,"N/A","N/A","N/A","Assessment","Alcohol and/or other drug testing. Collection and handling only, specimens other than blood, 15 minutes","N/A",260.99,"N/A","2025-07-01","2026-06-30"]
[33,"Riverside","Registered Pharmacist","H2021",1043.96,15,"N/A","N/A","N/A","Treatment Planning","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",260.99,"N/A","2025-07-01","2026-06-30"]
[34,"Sacramento","Certified AOD Counselor","H0004",346.56,15,"N/A","N/A","N/A","Individual Counseling","Behavioral health counseling and therapy, 15 minutes","N/A",86.64,"N/A","2025-07-01","2026-06-30"]
[34,"Sacramento","Certified AOD Counselor","H2017",346.56,15,"N/A","HQ","N/A","Recovery","Psychosocial rehabilitation services, 15 Minutes","N/A",19.25,"N/A","2025-07-01","2026-06-30"]
[34,"Sacramento","LCSW (Licensed, Waivered or Registered)",90849,417.8,84,"N/A","N/A","N/A","Family Therapy","Multiple-family group psychotherapy, 84 minutes","N/A",129.97999999999999,"N/A","2025-07-01","2026-06-30"]
[34,"Sacramento","LCSW (Licensed, Waivered or Registered)",96170,417.8,30,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; initial 30 minutes","N/A",208.9,"N/A","2025-07-01","2026-06-30"]
[34,"Sacramento","LCSW (Licensed, Waivered or Registered)","G0542",417.8,15,"N/A","N/A","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",104.45,"N/A","2025-07-01","2026-06-30"]
[34,"Sacramento","LCSW (Licensed, Waivered or Registered)","H2014",417.8,15,"N/A","HQ","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",23.21,"N/A","2025-07-01","2026-06-30"]
[34,"Sacramento","LCSW (Licensed, Waivered or Registered)","H2027",417.8,15,"N/A","N/A","N/A","Treatment Planning","Psychoeducational Service, 15 minutes","N/A",104.45,"N/A","2025-07-01","2026-06-30"]
[34,"Sacramento","Licensed Physician",90849,1605.37,84,"N/A","N/A","N/A","Family Therapy","Multiple-family group psychotherapy, 84 minutes","N/A",499.45,"N/A","2025-07-01","2026-06-30"]
[34,"Sacramento","Licensed Physician",97550,1605.37,23,"N/A","N/A","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",615.39,"N/A","2025-07-01","2026-06-30"]
[34,"Sacramento","Licensed Physician",99205,1605.37,67,"N/A","N/A","N/A","Assessment","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. 60-74 minutes total time on the date of the encounter.","N/A",1792.66,"N/A","2025-07-01","2026-06-30"]
[34,"Sacramento","Licensed Physician",99304,1605.37,30,"N/A","N/A","N/A","Assessment","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. 25-34 minutes total time on the date of the encounter.","N/A",802.69,"N/A","2025-07-01","2026-06-30"]
[34,"Sacramento","Licensed Physician",99409,1605.37,60,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or substance (other than tobacco) abuse structural screening (eg, AUDIT ,DAST), and brief intervention (SBI) services. 31-1440 minutes. ","N/A",1605.37,"N/A","2025-07-01","2026-06-30"]
[34,"Sacramento","Licensed Physician",99425,1605.37,30,"N/A","N/A","N/A","Care Coordination","Principal care management services, for a single high-risk disease, each additional 30 minutes provided personally by a physician or other qualified health care professional, per calendar month. Code 99425 is reported in conjunction with 99424, when at least an additional 30 minutes of service time is provided beyond 99424.","N/A",802.69,"N/A","2025-07-01","2026-06-30"]
[34,"Sacramento","Licensed Physician","G2011",1605.37,10,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 5-14 Minutes","N/A",267.56,"N/A","2025-07-01","2026-06-30"]
[34,"Sacramento","Licensed Physician","H0048",1605.37,15,"N/A","N/A","N/A","Assessment","Alcohol and/or other drug testing. Collection and handling only, specimens other than blood, 15 minutes","N/A",401.34,"N/A","2025-07-01","2026-06-30"]
[34,"Sacramento","Licensed Physician","H2027",1605.37,15,"N/A","N/A","N/A","Treatment Planning","Psychoeducational Service, 15 minutes","N/A",401.34,"N/A","2025-07-01","2026-06-30"]
[34,"Sacramento","Licensed Physician","T2021",1605.37,15,"N/A","HQ","N/A","Family Therapy","Therapy substitute, 15 minutes","N/A",89.19,"N/A","2025-07-01","2026-06-30"]
[34,"Sacramento","Licensed Psychiatric Technician","G0539",293.67,23,"N/A","N/A","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",112.57,"N/A","2025-07-01","2026-06-30"]
[34,"Sacramento","Licensed Psychiatric Technician","G2011",293.67,10,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 5-14 Minutes","N/A",48.95,"N/A","2025-07-01","2026-06-30"]
[34,"Sacramento","Licensed Psychiatric Technician","H1000",293.67,15,"N/A","N/A","N/A","Assessment","Prenatal Care, at risk assessment, 15 minutes ","N/A",73.42,"N/A","2025-07-01","2026-06-30"]
[34,"Sacramento","Licensed Psychiatric Technician","T1013",293.67,"N/A","N/A","N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"N/A","2025-07-01","2026-06-30"]
[34,"Sacramento","Licensed Vocational Nurse","G0541",342.56,23,"N/A","N/A","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",131.31,"N/A","2025-07-01","2026-06-30"]
[34,"Sacramento","Licensed Vocational Nurse","H0007",342.56,15,"N/A","N/A","N/A","Crisis Intervention","Alcohol and/or drug services; crisis intervention (outpatient), 15 minutes","N/A",85.64,"N/A","2025-07-01","2026-06-30"]
[34,"Sacramento","Licensed Vocational Nurse","H2014",342.56,15,"N/A","HQ","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",19.03,"N/A","2025-07-01","2026-06-30"]
[34,"Sacramento","Medical Assistant",96170,235.48,30,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; initial 30 minutes","N/A",117.74,"N/A","2025-07-01","2026-06-30"]
[34,"Sacramento","Medical Assistant","H2014",235.48,15,"N/A","HQ","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",13.08,"N/A","2025-07-01","2026-06-30"]
[34,"Sacramento","MFT/LPCC (Licensed, Waivered or Registered)",90791,417.8,60,"N/A","N/A","N/A","Assessment","Psychiatric diagnostic evaluation, 60 minutes","N/A",417.8,"N/A","2025-07-01","2026-06-30"]
[34,"Sacramento","MFT/LPCC (Licensed, Waivered or Registered)",98967,417.8,16,"N/A","N/A","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",111.41,"N/A","2025-07-01","2026-06-30"]
[34,"Sacramento","MFT/LPCC (Licensed, Waivered or Registered)","G0543",417.8,45,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[34,"Sacramento","MFT/LPCC (Licensed, Waivered or Registered)","H0049",417.8,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening, 15 minutes","N/A",104.45,"N/A","2025-07-01","2026-06-30"]
[34,"Sacramento","MFT/LPCC (Licensed, Waivered or Registered)","T2021",417.8,15,"N/A","N/A","N/A","Family Therapy","Therapy substitute, 15 minutes","N/A",104.45,"N/A","2025-07-01","2026-06-30"]
[34,"Sacramento","Nurse Practitioner",90887,798.31,50,"N/A","N/A","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",665.26,"N/A","2025-07-01","2026-06-30"]
[34,"Sacramento","Nurse Practitioner",96171,798.31,15,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; each additional 15 minutes","N/A",199.58,"N/A","2025-07-01","2026-06-30"]
[34,"Sacramento","Nurse Practitioner",99234,798.31,57,"N/A","N/A","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. 45-69 minutes total time on the date of the encounter.","N/A",758.39,"N/A","2025-07-01","2026-06-30"]
[34,"Sacramento","Nurse Practitioner",99309,798.31,37,"N/A","N/A","N/A","Assessment","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. 30-44 minutes total time on the date of the encounter.\t","N/A",492.29,"N/A","2025-07-01","2026-06-30"]
[34,"Sacramento","Nurse Practitioner",99418,798.31,15,"N/A","N/A","N/A","Assessment","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 (This code does not follow the midpoint rule. A full 15 minutes must be met before one unit of 99418 can be claimed).","N/A",199.58,"N/A","2025-07-01","2026-06-30"]
[34,"Sacramento","Nurse Practitioner",99424,798.31,30,"N/A","N/A","N/A","Care Coordination","Principal care management services, for a single high-risk disease, first 30 minutes provided personally by a physician or other qualified health care professional, per calendar month. At least 30 minutes of service must be provided before 1 unit of this code can be reported.","N/A",399.16,"N/A","2025-07-01","2026-06-30"]
[34,"Sacramento","Nurse Practitioner","G2011",798.31,10,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 5-14 Minutes","N/A",133.05000000000001,"N/A","2025-07-01","2026-06-30"]
[34,"Sacramento","Nurse Practitioner","H0008",798.31,15,"N/A","N/A","N/A","Recovery","Alcohol and/or drug services: (hospital inpatient) Subacute detoxification, 15 minutes","N/A",199.58,"N/A","2025-07-01","2026-06-30"]
[34,"Sacramento","Nurse Practitioner","H2014",798.31,15,"N/A","N/A","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",199.58,"N/A","2025-07-01","2026-06-30"]
[34,"Sacramento","Occupational Therapist",90887,556.16,50,"N/A","N/A","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",463.47,"N/A","2025-07-01","2026-06-30"]
[34,"Sacramento","Occupational Therapist","G0539",556.16,23,"N/A","N/A","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",213.19,"N/A","2025-07-01","2026-06-30"]
[34,"Sacramento","Occupational Therapist","H0005",556.16,15,"N/A","N/A","N/A","Group Counseling","Alcohol and/or drug services; group counseling by a clinician, 15 minutes ","N/A",30.9,"N/A","2025-07-01","2026-06-30"]
[34,"Sacramento","Other Qualified Practitioner","G0396",314.33999999999997,23,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 15-30 Minutes","N/A",120.5,"N/A","2025-07-01","2026-06-30"]
[34,"Sacramento","Other Qualified Practitioner","H2017",314.33999999999997,15,"N/A","HQ","N/A","Recovery","Psychosocial rehabilitation services, 15 Minutes","N/A",17.46,"N/A","2025-07-01","2026-06-30"]
[34,"Sacramento","Other Qualified Practitioner","T1017",314.33999999999997,15,"N/A","N/A","N/A","Care Coordination","Targeted case management, 15 minutes","N/A",78.59,"N/A","2025-07-01","2026-06-30"]
[34,"Sacramento","Physician Assistant",96131,720,60,"N/A","N/A","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",720,"N/A","2025-07-01","2026-06-30"]
[34,"Sacramento","Physician Assistant",99202,720,22,"N/A","N/A","N/A","Assessment","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. 15-29 minutes total time on the date of the encounter.","N/A",264,"N/A","2025-07-01","2026-06-30"]
[34,"Sacramento","Physician Assistant",99213,720,25,"N/A","N/A","N/A","Assessment","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. 20-29 minutes total time on the date of the encounter.","N/A",300,"N/A","2025-07-01","2026-06-30"]
[34,"Sacramento","Physician Assistant",99349,720,50,"N/A","N/A","N/A","Assessment","\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. 40-59 minutes total time on the date of the encounter.","N/A",600,"N/A","2025-07-01","2026-06-30"]
[34,"Sacramento","Physician Assistant",99416,720,30,"N/A","N/A","N/A","Assessment","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",360,"N/A","2025-07-01","2026-06-30"]
[34,"Sacramento","Physician Assistant",99441,720,8,"N/A","N/A","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",96,"N/A","2025-07-01","2026-06-30"]
[34,"Sacramento","Physician Assistant","G0541",720,23,"N/A","N/A","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",276,"N/A","2025-07-01","2026-06-30"]
[34,"Sacramento","Physician Assistant","H1000",720,15,"N/A","N/A","N/A","Assessment","Prenatal Care, at risk assessment, 15 minutes ","N/A",180,"N/A","2025-07-01","2026-06-30"]
[34,"Sacramento","Physician Assistant","H2021",720,15,"N/A","N/A","N/A","Treatment Planning","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",180,"N/A","2025-07-01","2026-06-30"]
[34,"Sacramento","Psychologist (Licensed or Waivered)",96131,645.63,60,"N/A","N/A","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",645.63,"N/A","2025-07-01","2026-06-30"]
[34,"Sacramento","Psychologist (Licensed or Waivered)",97550,645.63,23,"N/A","N/A","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",247.49,"N/A","2025-07-01","2026-06-30"]
[34,"Sacramento","Psychologist (Licensed or Waivered)","G0539",645.63,23,"N/A","N/A","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",247.49,"N/A","2025-07-01","2026-06-30"]
[34,"Sacramento","Psychologist (Licensed or Waivered)","H0005",645.63,15,"N/A","N/A","N/A","Group Counseling","Alcohol and/or drug services; group counseling by a clinician, 15 minutes ","N/A",35.869999999999997,"N/A","2025-07-01","2026-06-30"]
[34,"Sacramento","Psychologist (Licensed or Waivered)","T2021",645.63,15,"N/A",22,"N/A","Family Therapy","Therapy substitute, 15 minutes","N/A",164.42,"N/A","2025-07-01","2026-06-30"]
[34,"Sacramento","Registered Nurse",96203,652.08000000000004,15,"N/A","N/A","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",36.229999999999997,"N/A","2025-07-01","2026-06-30"]
[34,"Sacramento","Registered Nurse","G0543",652.08000000000004,45,"N/A","N/A","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",108.68,"N/A","2025-07-01","2026-06-30"]
[34,"Sacramento","Registered Nurse","H0034",652.08000000000004,15,"N/A","HQ","N/A","Medication Services","Medication training and support, 15 minutes","N/A",36.229999999999997,"N/A","2025-07-01","2026-06-30"]
[34,"Sacramento","Registered Nurse","H2014",652.08000000000004,15,"N/A","HQ","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",36.229999999999997,"N/A","2025-07-01","2026-06-30"]
[34,"Sacramento","Registered Pharmacist",96202,768.45,60,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[34,"Sacramento","Registered Pharmacist","H0009",768.45,15,"N/A","N/A","N/A","Recovery","Alcohol and/or drug services:  (hospital inpatient) Acute detoxification, 15 minutes","N/A",192.11,"N/A","2025-07-01","2026-06-30"]
[34,"Sacramento","Registered Pharmacist","H0050",768.45,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or Drug Services, brief intervention, 15 minutes","N/A",192.11,"N/A","2025-07-01","2026-06-30"]
[35,"San Benito","Certified AOD Counselor","H0049",330.63,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening, 15 minutes","N/A",82.66,"N/A","2025-07-01","2026-06-30"]
[35,"San Benito","Certified AOD Counselor","H2035",330.63,60,"N/A","N/A","N/A","Recovery","Alcohol and/or other drug treatment program, per hour ","N/A",330.63,"N/A","2025-07-01","2026-06-30"]
[35,"San Benito","Community Health Worker",98960,307.39,30,"N/A","N/A","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",153.69999999999999,"N/A","2025-07-01","2026-06-30"]
[35,"San Benito","LCSW (Licensed, Waivered or Registered)",96202,398.6,60,"N/A","N/A","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",88.58,"N/A","2025-07-01","2026-06-30"]
[35,"San Benito","LCSW (Licensed, Waivered or Registered)","G0397",398.6,60,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 31-1440 Minutes","N/A",398.6,"N/A","2025-07-01","2026-06-30"]
[35,"San Benito","LCSW (Licensed, Waivered or Registered)","G2011",398.6,10,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 5-14 Minutes","N/A",66.430000000000007,"N/A","2025-07-01","2026-06-30"]
[35,"San Benito","LCSW (Licensed, Waivered or Registered)","H2015",398.6,15,"N/A","N/A","N/A","Recovery","Comprehensive community support services, 15 minutes","N/A",99.65,"N/A","2025-07-01","2026-06-30"]
[35,"San Benito","Licensed Physician",90846,1531.58,50,"N/A","N/A","N/A","Family Therapy","Family Psychotherapy (Without the Patient Present), 50 minutes","N/A",1276.32,"N/A","2025-07-01","2026-06-30"]
[35,"San Benito","Licensed Physician",90885,1531.58,60,"N/A","N/A","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",1531.58,"N/A","2025-07-01","2026-06-30"]
[35,"San Benito","Licensed Physician",97552,1531.58,45,"N/A","N/A","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",255.26,"N/A","2025-07-01","2026-06-30"]
[35,"San Benito","Licensed Physician",99307,1531.58,15,"N/A","N/A","N/A","Assessment","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. 10-19 minutes total time on the date of the encounter for code selection.","N/A",382.9,"N/A","2025-07-01","2026-06-30"]
[35,"San Benito","Licensed Physician",99349,1531.58,50,"N/A","N/A","N/A","Assessment","\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. 40-59 minutes total time on the date of the encounter.","N/A",1276.32,"N/A","2025-07-01","2026-06-30"]
[35,"San Benito","Licensed Physician",99416,1531.58,30,"N/A","N/A","N/A","Assessment","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",765.79,"N/A","2025-07-01","2026-06-30"]
[35,"San Benito","Licensed Physician","G0540",1531.58,15,"N/A","N/A","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",382.9,"N/A","2025-07-01","2026-06-30"]
[35,"San Benito","Licensed Physician","H0004",1531.58,15,"N/A","N/A","N/A","Individual Counseling","Behavioral health counseling and therapy, 15 minutes","N/A",382.9,"N/A","2025-07-01","2026-06-30"]
[35,"San Benito","Licensed Physician","H0050",1531.58,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or Drug Services, brief intervention, 15 minutes","N/A",382.9,"N/A","2025-07-01","2026-06-30"]
[35,"San Benito","Licensed Physician","T1006",1531.58,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or substance abuse services, family/couple counseling, 15 minutes","N/A",382.9,"N/A","2025-07-01","2026-06-30"]
[35,"San Benito","Licensed Psychiatric Technician",97551,280.17,15,"N/A","N/A","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",70.040000000000006,"N/A","2025-07-01","2026-06-30"]
[35,"San Benito","Licensed Psychiatric Technician","G0541",280.17,23,"N/A","N/A","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",107.4,"N/A","2025-07-01","2026-06-30"]
[35,"San Benito","Licensed Psychiatric Technician","H0034",280.17,15,"N/A","HQ","N/A","Medication Services","Medication training and support, 15 minutes","N/A",15.57,"N/A","2025-07-01","2026-06-30"]
[35,"San Benito","Licensed Psychiatric Technician","T1017",280.17,15,"N/A","N/A","N/A","Care Coordination","Targeted case management, 15 minutes","N/A",70.040000000000006,"N/A","2025-07-01","2026-06-30"]
[35,"San Benito","Licensed Vocational Nurse",96203,326.81,15,"N/A","N/A","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",18.16,"N/A","2025-07-01","2026-06-30"]
[35,"San Benito","Licensed Vocational Nurse","G0543",326.81,45,"N/A","N/A","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",54.47,"N/A","2025-07-01","2026-06-30"]
[35,"San Benito","Licensed Vocational Nurse","H2017",326.81,15,"N/A","HQ","N/A","Recovery","Psychosocial rehabilitation services, 15 Minutes","N/A",18.16,"N/A","2025-07-01","2026-06-30"]
[35,"San Benito","Medical Assistant",96160,224.66,15,"N/A","N/A","N/A","Care Coordination","Administration of patient-focused health risk assessment instrument (eg, health hazard appraisal) with scoring and documentation, per standardized instrument, 15 minutes","N/A",56.17,"N/A","2025-07-01","2026-06-30"]
[35,"San Benito","Medical Assistant","H0001",224.66,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug assessment, 15 minutes","N/A",56.17,"N/A","2025-07-01","2026-06-30"]
[35,"San Benito","MFT/LPCC (Licensed, Waivered or Registered)",90849,398.6,84,"N/A","N/A","N/A","Family Therapy","Multiple-family group psychotherapy, 84 minutes","N/A",124.01,"N/A","2025-07-01","2026-06-30"]
[35,"San Benito","MFT/LPCC (Licensed, Waivered or Registered)",97550,398.6,23,"N/A","N/A","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",152.80000000000001,"N/A","2025-07-01","2026-06-30"]
[35,"San Benito","MFT/LPCC (Licensed, Waivered or Registered)",99368,398.6,60,"N/A","N/A","N/A","Care Coordination","Medical team conference with interdisciplinary team of health care professionals, patient and/or family not present, 30-1440 minutes; participation by nonphysician qualified health care professional","N/A",398.6,"N/A","2025-07-01","2026-06-30"]
[35,"San Benito","MFT/LPCC (Licensed, Waivered or Registered)","H0001",398.6,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug assessment, 15 minutes","N/A",99.65,"N/A","2025-07-01","2026-06-30"]
[35,"San Benito","MFT/LPCC (Licensed, Waivered or Registered)","T1013",398.6,"N/A","N/A","N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"N/A","2025-07-01","2026-06-30"]
[35,"San Benito","Nurse Practitioner",90785,761.62,"N/A","N/A","N/A","N/A","Supplemental","Interactive complexity. There is no assigned time for this code. ","N/A",18.89,"N/A","2025-07-01","2026-06-30"]
[35,"San Benito","Nurse Practitioner",96130,761.62,60,"N/A","N/A","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",761.62,"N/A","2025-07-01","2026-06-30"]
[35,"San Benito","Nurse Practitioner",99212,761.62,15,"N/A","N/A","N/A","Assessment","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. 10-19 minutes total time on the date of the encounter.","N/A",190.41,"N/A","2025-07-01","2026-06-30"]
[35,"San Benito","Nurse Practitioner",99236,761.62,92,"N/A","N/A","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. 85-99 minutes total time on the date of the encounter.","N/A",1167.82,"N/A","2025-07-01","2026-06-30"]
[35,"San Benito","Nurse Practitioner",99341,761.62,22,"N/A","N/A","N/A","Assessment","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. 15-29 minutes total time on the date of the encounter.","N/A",279.26,"N/A","2025-07-01","2026-06-30"]
[35,"San Benito","Nurse Practitioner",99437,761.62,30,"N/A","N/A","N/A","Care Coordination","Chronic care management services, each additional 30 minutes by a physician or other qualified health care professional, per calendar month. Code 99437 is reported in conjunction with 99491, when at least an additional 30 minutes of service time is provided beyond 99491.","N/A",380.81,"N/A","2025-07-01","2026-06-30"]
[35,"San Benito","Nurse Practitioner","G0541",761.62,23,"N/A","N/A","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",291.95,"N/A","2025-07-01","2026-06-30"]
[35,"San Benito","Nurse Practitioner","H0003",761.62,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening. Laboratory analysis of specimens for presence of alcohol and/or drugs, 15 minutes","N/A",190.41,"N/A","2025-07-01","2026-06-30"]
[35,"San Benito","Nurse Practitioner","H2017",761.62,15,"N/A","N/A","N/A","Recovery","Psychosocial rehabilitation services, 15 Minutes","N/A",190.41,"N/A","2025-07-01","2026-06-30"]
[35,"San Benito","Nurse Practitioner","T2021",761.62,15,"N/A",22,"N/A","Family Therapy","Therapy substitute, 15 minutes","N/A",193.42,"N/A","2025-07-01","2026-06-30"]
[35,"San Benito","Occupational Therapist",96160,530.6,15,"N/A","N/A","N/A","Care Coordination","Administration of patient-focused health risk assessment instrument (eg, health hazard appraisal) with scoring and documentation, per standardized instrument, 15 minutes","N/A",132.65,"N/A","2025-07-01","2026-06-30"]
[35,"San Benito","Occupational Therapist","H2014",530.6,15,"N/A","HQ","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",29.48,"N/A","2025-07-01","2026-06-30"]
[35,"San Benito","Occupational Therapist","T1017",530.6,15,"N/A","N/A","N/A","Care Coordination","Targeted case management, 15 minutes","N/A",132.65,"N/A","2025-07-01","2026-06-30"]
[35,"San Benito","Other Qualified Practitioner","G2011",299.89,10,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 5-14 Minutes","N/A",49.98,"N/A","2025-07-01","2026-06-30"]
[35,"San Benito","Other Qualified Practitioner","H2021",299.89,15,"N/A","N/A","N/A","Treatment Planning","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",74.97,"N/A","2025-07-01","2026-06-30"]
[35,"San Benito","Physician Assistant",90885,686.91,60,"N/A","N/A","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",686.91,"N/A","2025-07-01","2026-06-30"]
[35,"San Benito","Physician Assistant",96170,686.91,30,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; initial 30 minutes","N/A",343.46,"N/A","2025-07-01","2026-06-30"]
[35,"San Benito","Physician Assistant",99205,686.91,67,"N/A","N/A","N/A","Assessment","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. 60-74 minutes total time on the date of the encounter.","N/A",767.05,"N/A","2025-07-01","2026-06-30"]
[35,"San Benito","Physician Assistant",99309,686.91,37,"N/A","N/A","N/A","Assessment","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. 30-44 minutes total time on the date of the encounter.\t","N/A",423.59,"N/A","2025-07-01","2026-06-30"]
[35,"San Benito","Physician Assistant",99368,686.91,60,"N/A","N/A","N/A","Care Coordination","Medical team conference with interdisciplinary team of health care professionals, patient and/or family not present, 30-1440 minutes; participation by nonphysician qualified health care professional","N/A",686.91,"N/A","2025-07-01","2026-06-30"]
[35,"San Benito","Physician Assistant",99418,686.91,15,"N/A","N/A","N/A","Assessment","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 (This code does not follow the midpoint rule. A full 15 minutes must be met before one unit of 99418 can be claimed).","N/A",171.73,"N/A","2025-07-01","2026-06-30"]
[35,"San Benito","Physician Assistant","G0543",686.91,45,"N/A","N/A","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",114.49,"N/A","2025-07-01","2026-06-30"]
[35,"San Benito","Physician Assistant","H0034",686.91,15,"N/A","HQ","N/A","Medication Services","Medication training and support, 15 minutes","N/A",38.159999999999997,"N/A","2025-07-01","2026-06-30"]
[35,"San Benito","Physician Assistant","H2021",686.91,15,"N/A","N/A","N/A","Treatment Planning","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",171.73,"N/A","2025-07-01","2026-06-30"]
[35,"San Benito","Psychologist (Licensed or Waivered)",90846,615.95000000000005,50,"N/A","N/A","N/A","Family Therapy","Family Psychotherapy (Without the Patient Present), 50 minutes","N/A",513.29,"N/A","2025-07-01","2026-06-30"]
[35,"San Benito","Psychologist (Licensed or Waivered)",96170,615.95000000000005,30,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; initial 30 minutes","N/A",307.98,"N/A","2025-07-01","2026-06-30"]
[35,"San Benito","Psychologist (Licensed or Waivered)",97552,615.95000000000005,45,"N/A","N/A","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",102.66,"N/A","2025-07-01","2026-06-30"]
[35,"San Benito","Psychologist (Licensed or Waivered)","H1000",615.95000000000005,15,"N/A","N/A","N/A","Assessment","Prenatal Care, at risk assessment, 15 minutes ","N/A",153.99,"N/A","2025-07-01","2026-06-30"]
[35,"San Benito","Psychologist (Licensed or Waivered)","T1007",615.95000000000005,15,"N/A","N/A","N/A","Treatment Planning","Alcohol and/or substance abuse services, treatment plan development and/or modification, 15 minutes","N/A",153.99,"N/A","2025-07-01","2026-06-30"]
[35,"San Benito","Registered Nurse",96171,622.11,15,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; each additional 15 minutes","N/A",155.53,"N/A","2025-07-01","2026-06-30"]
[35,"San Benito","Registered Nurse","G0539",622.11,23,"N/A","N/A","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",238.48,"N/A","2025-07-01","2026-06-30"]
[35,"San Benito","Registered Nurse","H0001",622.11,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug assessment, 15 minutes","N/A",155.53,"N/A","2025-07-01","2026-06-30"]
[35,"San Benito","Registered Nurse","H0048",622.11,15,"N/A","N/A","N/A","Assessment","Alcohol and/or other drug testing. Collection and handling only, specimens other than blood, 15 minutes","N/A",155.53,"N/A","2025-07-01","2026-06-30"]
[35,"San Benito","Registered Pharmacist",97550,733.13,23,"N/A","N/A","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",281.02999999999997,"N/A","2025-07-01","2026-06-30"]
[35,"San Benito","Registered Pharmacist",97551,733.13,15,"N/A","N/A","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",183.28,"N/A","2025-07-01","2026-06-30"]
[35,"San Benito","Registered Pharmacist","H0034",733.13,15,"N/A","HQ","N/A","Medication Services","Medication training and support, 15 minutes","N/A",40.729999999999997,"N/A","2025-07-01","2026-06-30"]
[36,"San Bernardino","Certified AOD Counselor","H0001",368.32,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug assessment, 15 minutes","N/A",92.08,"N/A","2025-07-01","2026-06-30"]
[36,"San Bernardino","Certified AOD Counselor","H1000",368.32,15,"N/A","N/A","N/A","Assessment","Prenatal Care, at risk assessment, 15 minutes ","N/A",92.08,"N/A","2025-07-01","2026-06-30"]
[36,"San Bernardino","Certified AOD Counselor","T1007",368.32,15,"N/A","N/A","N/A","Treatment Planning","Alcohol and/or substance abuse services, treatment plan development and/or modification, 15 minutes","N/A",92.08,"N/A","2025-07-01","2026-06-30"]
[36,"San Bernardino","LCSW (Licensed, Waivered or Registered)",90889,444.04,15,"N/A","N/A","N/A","Care Coordination","Preparation of report of patient's psychiatric status, history, treatment, or progress (other than for legal or consultative purposes) for other individuals, agencies, or insurance carriers, 15 minutes","N/A",111.01,"N/A","2025-07-01","2026-06-30"]
[36,"San Bernardino","LCSW (Licensed, Waivered or Registered)",97551,444.04,15,"N/A","N/A","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",111.01,"N/A","2025-07-01","2026-06-30"]
[36,"San Bernardino","LCSW (Licensed, Waivered or Registered)","G0540",444.04,15,"N/A","N/A","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",111.01,"N/A","2025-07-01","2026-06-30"]
[36,"San Bernardino","LCSW (Licensed, Waivered or Registered)","H2021",444.04,15,"N/A","N/A","N/A","Treatment Planning","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",111.01,"N/A","2025-07-01","2026-06-30"]
[36,"San Bernardino","LCSW (Licensed, Waivered or Registered)","T2024",444.04,15,"N/A","N/A","N/A","Assessment","Assessment substitute, 15 minutes","N/A",111.01,"N/A","2025-07-01","2026-06-30"]
[36,"San Bernardino","Licensed Physician",90849,1706.19,84,"N/A","N/A","N/A","Family Therapy","Multiple-family group psychotherapy, 84 minutes","N/A",530.80999999999995,"N/A","2025-07-01","2026-06-30"]
[36,"San Bernardino","Licensed Physician",99203,1706.19,37,"N/A","N/A","N/A","Assessment","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. 30-44 minutes total time on the date of the encounter.","N/A",1052.1500000000001,"N/A","2025-07-01","2026-06-30"]
[36,"San Bernardino","Licensed Physician",99236,1706.19,92,"N/A","N/A","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. 85-99 minutes total time on the date of the encounter.","N/A",2616.16,"N/A","2025-07-01","2026-06-30"]
[36,"San Bernardino","Licensed Physician",99309,1706.19,37,"N/A","N/A","N/A","Assessment","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. 30-44 minutes total time on the date of the encounter.\t","N/A",1052.1500000000001,"N/A","2025-07-01","2026-06-30"]
[36,"San Bernardino","Licensed Physician",99367,1706.19,60,"N/A","N/A","N/A","Care Coordination","Medical team conference with interdisciplinary team of health care professionals, patient and/or family not present, 30-1440 minutes; participation by physician","N/A",1706.19,"N/A","2025-07-01","2026-06-30"]
[36,"San Bernardino","Licensed Physician","G0316",1706.19,15,"N/A","N/A","N/A","Assessment","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",426.55,"N/A","2025-07-01","2026-06-30"]
[36,"San Bernardino","Licensed Physician","G0542",1706.19,15,"N/A","N/A","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",426.55,"N/A","2025-07-01","2026-06-30"]
[36,"San Bernardino","Licensed Physician","H0008",1706.19,15,"N/A","N/A","N/A","Recovery","Alcohol and/or drug services: (hospital inpatient) Subacute detoxification, 15 minutes","N/A",426.55,"N/A","2025-07-01","2026-06-30"]
[36,"San Bernardino","Licensed Physician","T1017",1706.19,15,"N/A","N/A","N/A","Care Coordination","Targeted case management, 15 minutes","N/A",426.55,"N/A","2025-07-01","2026-06-30"]
[36,"San Bernardino","Licensed Psychiatric Technician",96171,312.11,15,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; each additional 15 minutes","N/A",78.03,"N/A","2025-07-01","2026-06-30"]
[36,"San Bernardino","Licensed Psychiatric Technician","G0396",312.11,23,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 15-30 Minutes","N/A",119.64,"N/A","2025-07-01","2026-06-30"]
[36,"San Bernardino","Licensed Psychiatric Technician","H0049",312.11,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening, 15 minutes","N/A",78.03,"N/A","2025-07-01","2026-06-30"]
[36,"San Bernardino","Licensed Psychiatric Technician","H2035",312.11,60,"N/A","N/A","N/A","Recovery","Alcohol and/or other drug treatment program, per hour ","N/A",312.11,"N/A","2025-07-01","2026-06-30"]
[36,"San Bernardino","Licensed Vocational Nurse",90889,364.07,15,"N/A","N/A","N/A","Care Coordination","Preparation of report of patient's psychiatric status, history, treatment, or progress (other than for legal or consultative purposes) for other individuals, agencies, or insurance carriers, 15 minutes","N/A",91.02,"N/A","2025-07-01","2026-06-30"]
[36,"San Bernardino","Licensed Vocational Nurse","H0003",364.07,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening. Laboratory analysis of specimens for presence of alcohol and/or drugs, 15 minutes","N/A",91.02,"N/A","2025-07-01","2026-06-30"]
[36,"San Bernardino","Licensed Vocational Nurse","H1000",364.07,15,"N/A","N/A","N/A","Assessment","Prenatal Care, at risk assessment, 15 minutes ","N/A",91.02,"N/A","2025-07-01","2026-06-30"]
[36,"San Bernardino","Licensed Vocational Nurse","H2021",364.07,15,"N/A","N/A","N/A","Treatment Planning","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",91.02,"N/A","2025-07-01","2026-06-30"]
[36,"San Bernardino","Medical Assistant",96171,250.27,15,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; each additional 15 minutes","N/A",62.57,"N/A","2025-07-01","2026-06-30"]
[36,"San Bernardino","Medical Assistant","T2024",250.27,15,"N/A","N/A","N/A","Assessment","Assessment substitute, 15 minutes","N/A",62.57,"N/A","2025-07-01","2026-06-30"]
[36,"San Bernardino","MFT/LPCC (Licensed, Waivered or Registered)",90887,444.04,50,"N/A","N/A","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",370.03,"N/A","2025-07-01","2026-06-30"]
[36,"San Bernardino","MFT/LPCC (Licensed, Waivered or Registered)",97552,444.04,45,"N/A","N/A","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",74.010000000000005,"N/A","2025-07-01","2026-06-30"]
[36,"San Bernardino","MFT/LPCC (Licensed, Waivered or Registered)","H0007",444.04,15,"N/A","N/A","N/A","Crisis Intervention","Alcohol and/or drug services; crisis intervention (outpatient), 15 minutes","N/A",111.01,"N/A","2025-07-01","2026-06-30"]
[36,"San Bernardino","MFT/LPCC (Licensed, Waivered or Registered)","H2027",444.04,15,"N/A","N/A","N/A","Treatment Planning","Psychoeducational Service, 15 minutes","N/A",111.01,"N/A","2025-07-01","2026-06-30"]
[36,"San Bernardino","MFT/LPCC (Licensed, Waivered or Registered)","T2021",444.04,15,"N/A","HQ","N/A","Family Therapy","Therapy substitute, 15 minutes","N/A",24.67,"N/A","2025-07-01","2026-06-30"]
[36,"San Bernardino","Nurse Practitioner",96171,848.45,15,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; each additional 15 minutes","N/A",212.11,"N/A","2025-07-01","2026-06-30"]
[36,"San Bernardino","Nurse Practitioner",99202,848.45,22,"N/A","N/A","N/A","Assessment","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. 15-29 minutes total time on the date of the encounter.","N/A",311.10000000000002,"N/A","2025-07-01","2026-06-30"]
[36,"San Bernardino","Nurse Practitioner",99214,848.45,35,"N/A","N/A","N/A","Assessment","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. 30-39 minutes total time on the date of the encounter.","N/A",494.93,"N/A","2025-07-01","2026-06-30"]
[36,"San Bernardino","Nurse Practitioner",99345,848.45,82,"N/A","N/A","N/A","Assessment","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. 75-89 minutes total time on the date of the encounter.","N/A",1159.55,"N/A","2025-07-01","2026-06-30"]
[36,"San Bernardino","Nurse Practitioner",99417,848.45,15,"N/A","N/A","N/A","Assessment","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 (This code does not follow the midpoint rule. A  full 15 minutes must be met before one unit of 99417 can be claimed).","N/A",212.11,"N/A","2025-07-01","2026-06-30"]
[36,"San Bernardino","Nurse Practitioner",99442,848.45,16,"N/A","N/A","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",226.25,"N/A","2025-07-01","2026-06-30"]
[36,"San Bernardino","Nurse Practitioner","G2011",848.45,10,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 5-14 Minutes","N/A",141.41,"N/A","2025-07-01","2026-06-30"]
[36,"San Bernardino","Nurse Practitioner","H2014",848.45,15,"N/A","HQ","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",47.14,"N/A","2025-07-01","2026-06-30"]
[36,"San Bernardino","Nurse Practitioner","H2027",848.45,15,"N/A","N/A","N/A","Treatment Planning","Psychoeducational Service, 15 minutes","N/A",212.11,"N/A","2025-07-01","2026-06-30"]
[36,"San Bernardino","Occupational Therapist",90785,591.09,"N/A","N/A","N/A","N/A","Supplemental","Interactive complexity. There is no assigned time for this code. ","N/A",18.89,"N/A","2025-07-01","2026-06-30"]
[36,"San Bernardino","Occupational Therapist","H0001",591.09,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug assessment, 15 minutes","N/A",147.77000000000001,"N/A","2025-07-01","2026-06-30"]
[36,"San Bernardino","Occupational Therapist","H2014",591.09,15,"N/A","HQ","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",32.840000000000003,"N/A","2025-07-01","2026-06-30"]
[36,"San Bernardino","Other Qualified Practitioner","G2011",334.08,10,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 5-14 Minutes","N/A",55.68,"N/A","2025-07-01","2026-06-30"]
[36,"San Bernardino","Other Qualified Practitioner","T1013",334.08,"N/A","N/A","N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"N/A","2025-07-01","2026-06-30"]
[36,"San Bernardino","Physician Assistant",90847,765.22,50,"N/A","N/A","N/A","Family Therapy","Family Psychotherapy (Conjoint psychotheraphy with Patient Present), 50 minutes","N/A",637.67999999999995,"N/A","2025-07-01","2026-06-30"]
[36,"San Bernardino","Physician Assistant",90889,765.22,15,"N/A","N/A","N/A","Care Coordination","Preparation of report of patient's psychiatric status, history, treatment, or progress (other than for legal or consultative purposes) for other individuals, agencies, or insurance carriers, 15 minutes","N/A",191.31,"N/A","2025-07-01","2026-06-30"]
[36,"San Bernardino","Physician Assistant",99205,765.22,67,"N/A","N/A","N/A","Assessment","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. 60-74 minutes total time on the date of the encounter.","N/A",854.5,"N/A","2025-07-01","2026-06-30"]
[36,"San Bernardino","Physician Assistant",99309,765.22,37,"N/A","N/A","N/A","Assessment","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. 30-44 minutes total time on the date of the encounter.\t","N/A",471.89,"N/A","2025-07-01","2026-06-30"]
[36,"San Bernardino","Physician Assistant",99341,765.22,22,"N/A","N/A","N/A","Assessment","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. 15-29 minutes total time on the date of the encounter.","N/A",280.58,"N/A","2025-07-01","2026-06-30"]
[36,"San Bernardino","Physician Assistant",99409,765.22,60,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or substance (other than tobacco) abuse structural screening (eg, AUDIT ,DAST), and brief intervention (SBI) services. 31-1440 minutes. ","N/A",765.22,"N/A","2025-07-01","2026-06-30"]
[36,"San Bernardino","Physician Assistant","G0539",765.22,23,"N/A","N/A","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",293.33,"N/A","2025-07-01","2026-06-30"]
[36,"San Bernardino","Physician Assistant","H0001",765.22,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug assessment, 15 minutes","N/A",191.31,"N/A","2025-07-01","2026-06-30"]
[36,"San Bernardino","Physician Assistant","H0048",765.22,15,"N/A","N/A","N/A","Assessment","Alcohol and/or other drug testing. Collection and handling only, specimens other than blood, 15 minutes","N/A",191.31,"N/A","2025-07-01","2026-06-30"]
[36,"San Bernardino","Physician Assistant","T1006",765.22,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or substance abuse services, family/couple counseling, 15 minutes","N/A",191.31,"N/A","2025-07-01","2026-06-30"]
[36,"San Bernardino","Psychologist (Licensed or Waivered)",90849,686.17,84,"N/A","N/A","N/A","Family Therapy","Multiple-family group psychotherapy, 84 minutes","N/A",213.48,"N/A","2025-07-01","2026-06-30"]
[36,"San Bernardino","Psychologist (Licensed or Waivered)",96202,686.17,60,"N/A","N/A","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",152.47999999999999,"N/A","2025-07-01","2026-06-30"]
[36,"San Bernardino","Psychologist (Licensed or Waivered)","G2011",686.17,10,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 5-14 Minutes","N/A",114.36,"N/A","2025-07-01","2026-06-30"]
[36,"San Bernardino","Psychologist (Licensed or Waivered)","H2014",686.17,15,"N/A","N/A","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",171.54,"N/A","2025-07-01","2026-06-30"]
[36,"San Bernardino","Psychologist (Licensed or Waivered)","T1017",686.17,15,"N/A","N/A","N/A","Care Coordination","Targeted case management, 15 minutes","N/A",171.54,"N/A","2025-07-01","2026-06-30"]
[36,"San Bernardino","Registered Nurse",97550,693.03,23,"N/A","N/A","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",265.66000000000003,"N/A","2025-07-01","2026-06-30"]
[36,"San Bernardino","Registered Nurse","G0541",693.03,23,"N/A","N/A","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",265.66000000000003,"N/A","2025-07-01","2026-06-30"]
[36,"San Bernardino","Registered Nurse","H0004",693.03,15,"N/A","N/A","N/A","Individual Counseling","Behavioral health counseling and therapy, 15 minutes","N/A",173.26,"N/A","2025-07-01","2026-06-30"]
[36,"San Bernardino","Registered Nurse","T1007",693.03,15,"N/A","N/A","N/A","Treatment Planning","Alcohol and/or substance abuse services, treatment plan development and/or modification, 15 minutes","N/A",173.26,"N/A","2025-07-01","2026-06-30"]
[36,"San Bernardino","Registered Pharmacist",97552,816.71,45,"N/A","N/A","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",136.12,"N/A","2025-07-01","2026-06-30"]
[36,"San Bernardino","Registered Pharmacist","G0541",816.71,23,"N/A","N/A","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",313.07,"N/A","2025-07-01","2026-06-30"]
[36,"San Bernardino","Registered Pharmacist","T1017",816.71,15,"N/A","N/A","N/A","Care Coordination","Targeted case management, 15 minutes","N/A",204.18,"N/A","2025-07-01","2026-06-30"]
[37,"San Diego","Certified AOD Counselor","H0005",322.94,15,"N/A","N/A","N/A","Group Counseling","Alcohol and/or drug services; group counseling by a clinician, 15 minutes ","N/A",17.940000000000001,"N/A","2025-07-01","2026-06-30"]
[37,"San Diego","Certified AOD Counselor","H2014",322.94,15,"N/A","N/A","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",80.739999999999995,"N/A","2025-07-01","2026-06-30"]
[37,"San Diego","LCSW (Licensed, Waivered or Registered)",90849,389.33,84,"N/A","N/A","N/A","Family Therapy","Multiple-family group psychotherapy, 84 minutes","N/A",121.12,"N/A","2025-07-01","2026-06-30"]
[37,"San Diego","LCSW (Licensed, Waivered or Registered)",96170,389.33,30,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; initial 30 minutes","N/A",194.67,"N/A","2025-07-01","2026-06-30"]
[37,"San Diego","LCSW (Licensed, Waivered or Registered)",98967,389.33,16,"N/A","N/A","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",103.82,"N/A","2025-07-01","2026-06-30"]
[37,"San Diego","LCSW (Licensed, Waivered or Registered)","H2014",389.33,15,"N/A","N/A","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",97.33,"N/A","2025-07-01","2026-06-30"]
[37,"San Diego","LCSW (Licensed, Waivered or Registered)","H2035",389.33,60,"N/A","N/A","N/A","Recovery","Alcohol and/or other drug treatment program, per hour ","N/A",389.33,"N/A","2025-07-01","2026-06-30"]
[37,"San Diego","Licensed Physician",90791,1495.97,60,"N/A","N/A","N/A","Assessment","Psychiatric diagnostic evaluation, 60 minutes","N/A",1495.97,"N/A","2025-07-01","2026-06-30"]
[37,"San Diego","Licensed Physician",97550,1495.97,23,"N/A","N/A","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",573.46,"N/A","2025-07-01","2026-06-30"]
[37,"San Diego","Licensed Physician",99205,1495.97,67,"N/A","N/A","N/A","Assessment","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. 60-74 minutes total time on the date of the encounter.","N/A",1670.5,"N/A","2025-07-01","2026-06-30"]
[37,"San Diego","Licensed Physician",99304,1495.97,30,"N/A","N/A","N/A","Assessment","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. 25-34 minutes total time on the date of the encounter.","N/A",747.99,"N/A","2025-07-01","2026-06-30"]
[37,"San Diego","Licensed Physician",99415,1495.97,60,"N/A","N/A","N/A","Assessment","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",1495.97,"N/A","2025-07-01","2026-06-30"]
[37,"San Diego","Licensed Physician",99451,1495.97,18,"N/A","N/A","N/A","Care Coordination","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",448.79,"N/A","2025-07-01","2026-06-30"]
[37,"San Diego","Licensed Physician","G0397",1495.97,60,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 31-1440 Minutes","N/A",1495.97,"N/A","2025-07-01","2026-06-30"]
[37,"San Diego","Licensed Physician","H0048",1495.97,15,"N/A","N/A","N/A","Assessment","Alcohol and/or other drug testing. Collection and handling only, specimens other than blood, 15 minutes","N/A",373.99,"N/A","2025-07-01","2026-06-30"]
[37,"San Diego","Licensed Physician","H2027",1495.97,15,"N/A","N/A","N/A","Treatment Planning","Psychoeducational Service, 15 minutes","N/A",373.99,"N/A","2025-07-01","2026-06-30"]
[37,"San Diego","Licensed Physician","T2021",1495.97,15,"N/A",22,"N/A","Family Therapy","Therapy substitute, 15 minutes","N/A",377,"N/A","2025-07-01","2026-06-30"]
[37,"San Diego","Licensed Psychiatric Technician",96203,273.64999999999998,15,"N/A","N/A","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",15.2,"N/A","2025-07-01","2026-06-30"]
[37,"San Diego","Licensed Psychiatric Technician","H0033",273.64999999999998,15,"N/A","N/A","N/A","Medication Services","Medication administration, direct observation, 15 minutes","N/A",68.41,"N/A","2025-07-01","2026-06-30"]
[37,"San Diego","Licensed Psychiatric Technician","H1000",273.64999999999998,15,"N/A","N/A","N/A","Assessment","Prenatal Care, at risk assessment, 15 minutes ","N/A",68.41,"N/A","2025-07-01","2026-06-30"]
[37,"San Diego","Licensed Psychiatric Technician","T1013",273.64999999999998,"N/A","N/A","N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"N/A","2025-07-01","2026-06-30"]
[37,"San Diego","Licensed Vocational Nurse","G0543",319.20999999999998,45,"N/A","N/A","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",53.2,"N/A","2025-07-01","2026-06-30"]
[37,"San Diego","Licensed Vocational Nurse","H0008",319.20999999999998,15,"N/A","N/A","N/A","Recovery","Alcohol and/or drug services: (hospital inpatient) Subacute detoxification, 15 minutes","N/A",79.8,"N/A","2025-07-01","2026-06-30"]
[37,"San Diego","Licensed Vocational Nurse","H2014",319.20999999999998,15,"N/A","N/A","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",79.8,"N/A","2025-07-01","2026-06-30"]
[37,"San Diego","Medical Assistant","H0003",219.43,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening. Laboratory analysis of specimens for presence of alcohol and/or drugs, 15 minutes","N/A",54.86,"N/A","2025-07-01","2026-06-30"]
[37,"San Diego","Medical Assistant","H2021",219.43,15,"N/A","N/A","N/A","Treatment Planning","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",54.86,"N/A","2025-07-01","2026-06-30"]
[37,"San Diego","MFT/LPCC (Licensed, Waivered or Registered)",90791,389.33,60,"N/A","N/A","N/A","Assessment","Psychiatric diagnostic evaluation, 60 minutes","N/A",389.33,"N/A","2025-07-01","2026-06-30"]
[37,"San Diego","MFT/LPCC (Licensed, Waivered or Registered)",96170,389.33,30,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; initial 30 minutes","N/A",194.67,"N/A","2025-07-01","2026-06-30"]
[37,"San Diego","MFT/LPCC (Licensed, Waivered or Registered)","G2011",389.33,10,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 5-14 Minutes","N/A",64.89,"N/A","2025-07-01","2026-06-30"]
[37,"San Diego","MFT/LPCC (Licensed, Waivered or Registered)","H0050",389.33,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or Drug Services, brief intervention, 15 minutes","N/A",97.33,"N/A","2025-07-01","2026-06-30"]
[37,"San Diego","MFT/LPCC (Licensed, Waivered or Registered)","T2024",389.33,15,"N/A","N/A","N/A","Assessment","Assessment substitute, 15 minutes","N/A",97.33,"N/A","2025-07-01","2026-06-30"]
[37,"San Diego","Nurse Practitioner",90887,743.91,50,"N/A","N/A","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",619.92999999999995,"N/A","2025-07-01","2026-06-30"]
[37,"San Diego","Nurse Practitioner",96171,743.91,15,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; each additional 15 minutes","N/A",185.98,"N/A","2025-07-01","2026-06-30"]
[37,"San Diego","Nurse Practitioner",99214,743.91,35,"N/A","N/A","N/A","Assessment","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. 30-39 minutes total time on the date of the encounter.","N/A",433.95,"N/A","2025-07-01","2026-06-30"]
[37,"San Diego","Nurse Practitioner",99310,743.91,52,"N/A","N/A","N/A","Assessment","\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. 45-59 minutes total time on the date of the encounter.","N/A",644.72,"N/A","2025-07-01","2026-06-30"]
[37,"San Diego","Nurse Practitioner",99348,743.91,35,"N/A","N/A","N/A","Assessment","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. 30-39 minutes total time on the date of the encounter.","N/A",433.95,"N/A","2025-07-01","2026-06-30"]
[37,"San Diego","Nurse Practitioner",99424,743.91,30,"N/A","N/A","N/A","Care Coordination","Principal care management services, for a single high-risk disease, first 30 minutes provided personally by a physician or other qualified health care professional, per calendar month. At least 30 minutes of service must be provided before 1 unit of this code can be reported.","N/A",371.96,"N/A","2025-07-01","2026-06-30"]
[37,"San Diego","Nurse Practitioner","G2011",743.91,10,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 5-14 Minutes","N/A",123.99,"N/A","2025-07-01","2026-06-30"]
[37,"San Diego","Nurse Practitioner","H0004",743.91,15,"N/A","N/A","N/A","Individual Counseling","Behavioral health counseling and therapy, 15 minutes","N/A",185.98,"N/A","2025-07-01","2026-06-30"]
[37,"San Diego","Nurse Practitioner","H2015",743.91,15,"N/A","N/A","N/A","Recovery","Comprehensive community support services, 15 minutes","N/A",185.98,"N/A","2025-07-01","2026-06-30"]
[37,"San Diego","Occupational Therapist",90889,518.26,15,"N/A","N/A","N/A","Care Coordination","Preparation of report of patient's psychiatric status, history, treatment, or progress (other than for legal or consultative purposes) for other individuals, agencies, or insurance carriers, 15 minutes","N/A",129.57,"N/A","2025-07-01","2026-06-30"]
[37,"San Diego","Occupational Therapist","G0540",518.26,15,"N/A","N/A","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",129.57,"N/A","2025-07-01","2026-06-30"]
[37,"San Diego","Occupational Therapist","H0005",518.26,15,"N/A","N/A","N/A","Group Counseling","Alcohol and/or drug services; group counseling by a clinician, 15 minutes ","N/A",28.79,"N/A","2025-07-01","2026-06-30"]
[37,"San Diego","Other Qualified Practitioner","G0396",292.92,23,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 15-30 Minutes","N/A",112.29,"N/A","2025-07-01","2026-06-30"]
[37,"San Diego","Other Qualified Practitioner","H0050",292.92,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or Drug Services, brief intervention, 15 minutes","N/A",73.23,"N/A","2025-07-01","2026-06-30"]
[37,"San Diego","Other Qualified Practitioner","T2024",292.92,15,"N/A","N/A","N/A","Assessment","Assessment substitute, 15 minutes","N/A",73.23,"N/A","2025-07-01","2026-06-30"]
[37,"San Diego","Physician Assistant",90865,670.94,90,"N/A","N/A","N/A","Assessment","Nacrosynthesis for psychiatric diagnostic and therapeutic purposes (eg, sodium amobarbital (Amytal) interview), 90 minutes","N/A",1006.41,"N/A","2025-07-01","2026-06-30"]
[37,"San Diego","Physician Assistant",98968,670.94,26,"N/A","N/A","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",290.74,"N/A","2025-07-01","2026-06-30"]
[37,"San Diego","Physician Assistant",99213,670.94,25,"N/A","N/A","N/A","Assessment","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. 20-29 minutes total time on the date of the encounter.","N/A",279.56,"N/A","2025-07-01","2026-06-30"]
[37,"San Diego","Physician Assistant",99306,670.94,57,"N/A","N/A","N/A","Assessment","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. 50-64 minutes total time on the date of the encounter.","N/A",637.39,"N/A","2025-07-01","2026-06-30"]
[37,"San Diego","Physician Assistant",99408,670.94,23,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or substance (other than tobacco) abuse structural screening (eg, AUDIT ,DAST), and brief intervention (SBI) services. 15-30 minutes. ","N/A",257.19,"N/A","2025-07-01","2026-06-30"]
[37,"San Diego","Physician Assistant",99442,670.94,16,"N/A","N/A","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",178.92,"N/A","2025-07-01","2026-06-30"]
[37,"San Diego","Physician Assistant","G0541",670.94,23,"N/A","N/A","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",257.19,"N/A","2025-07-01","2026-06-30"]
[37,"San Diego","Physician Assistant","H1000",670.94,15,"N/A","N/A","N/A","Assessment","Prenatal Care, at risk assessment, 15 minutes ","N/A",167.74,"N/A","2025-07-01","2026-06-30"]
[37,"San Diego","Physician Assistant","T1007",670.94,15,"N/A","N/A","N/A","Treatment Planning","Alcohol and/or substance abuse services, treatment plan development and/or modification, 15 minutes","N/A",167.74,"N/A","2025-07-01","2026-06-30"]
[37,"San Diego","Physician Assistant","T2024",670.94,15,"N/A","N/A","N/A","Assessment","Assessment substitute, 15 minutes","N/A",167.74,"N/A","2025-07-01","2026-06-30"]
[37,"San Diego","Psychologist (Licensed or Waivered)",96203,601.63,15,"N/A","N/A","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",33.42,"N/A","2025-07-01","2026-06-30"]
[37,"San Diego","Psychologist (Licensed or Waivered)","G0540",601.63,15,"N/A","N/A","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",150.41,"N/A","2025-07-01","2026-06-30"]
[37,"San Diego","Psychologist (Licensed or Waivered)","H0003",601.63,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening. Laboratory analysis of specimens for presence of alcohol and/or drugs, 15 minutes","N/A",150.41,"N/A","2025-07-01","2026-06-30"]
[37,"San Diego","Psychologist (Licensed or Waivered)","H2035",601.63,60,"N/A","N/A","N/A","Recovery","Alcohol and/or other drug treatment program, per hour ","N/A",601.63,"N/A","2025-07-01","2026-06-30"]
[37,"San Diego","Registered Nurse",96203,607.64,15,"N/A","N/A","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",33.76,"N/A","2025-07-01","2026-06-30"]
[37,"San Diego","Registered Nurse","G0542",607.64,15,"N/A","N/A","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",151.91,"N/A","2025-07-01","2026-06-30"]
[37,"San Diego","Registered Nurse","G0543",607.64,45,"N/A","N/A","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",101.27,"N/A","2025-07-01","2026-06-30"]
[37,"San Diego","Registered Nurse","H2014",607.64,15,"N/A","N/A","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",151.91,"N/A","2025-07-01","2026-06-30"]
[37,"San Diego","Registered Nurse","T1017",607.64,15,"N/A","N/A","N/A","Care Coordination","Targeted case management, 15 minutes","N/A",151.91,"N/A","2025-07-01","2026-06-30"]
[37,"San Diego","Registered Pharmacist","G0396",716.09,23,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 15-30 Minutes","N/A",274.5,"N/A","2025-07-01","2026-06-30"]
[37,"San Diego","Registered Pharmacist","H0050",716.09,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or Drug Services, brief intervention, 15 minutes","N/A",179.02,"N/A","2025-07-01","2026-06-30"]
[38,"San Francisco","Certified AOD Counselor","G0396",455.3,23,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 15-30 Minutes","N/A",174.53,"N/A","2025-07-01","2026-06-30"]
[38,"San Francisco","Certified AOD Counselor","H0049",455.3,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening, 15 minutes","N/A",113.83,"N/A","2025-07-01","2026-06-30"]
[38,"San Francisco","Community Health Worker",98961,423.3,30,"N/A","N/A","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",70.55,"N/A","2025-07-01","2026-06-30"]
[38,"San Francisco","LCSW (Licensed, Waivered or Registered)",90885,548.91,60,"N/A","N/A","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",548.91,"N/A","2025-07-01","2026-06-30"]
[38,"San Francisco","LCSW (Licensed, Waivered or Registered)",96202,548.91,60,"N/A","N/A","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",121.98,"N/A","2025-07-01","2026-06-30"]
[38,"San Francisco","LCSW (Licensed, Waivered or Registered)","H0007",548.91,15,"N/A","N/A","N/A","Crisis Intervention","Alcohol and/or drug services; crisis intervention (outpatient), 15 minutes","N/A",137.22999999999999,"N/A","2025-07-01","2026-06-30"]
[38,"San Francisco","LCSW (Licensed, Waivered or Registered)","H2017",548.91,15,"N/A","N/A","N/A","Recovery","Psychosocial rehabilitation services, 15 Minutes","N/A",137.22999999999999,"N/A","2025-07-01","2026-06-30"]
[38,"San Francisco","LCSW (Licensed, Waivered or Registered)","T1007",548.91,15,"N/A","N/A","N/A","Treatment Planning","Alcohol and/or substance abuse services, treatment plan development and/or modification, 15 minutes","N/A",137.22999999999999,"N/A","2025-07-01","2026-06-30"]
[38,"San Francisco","Licensed Physician",96170,2109.13,30,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; initial 30 minutes","N/A",1054.57,"N/A","2025-07-01","2026-06-30"]
[38,"San Francisco","Licensed Physician",97552,2109.13,45,"N/A","N/A","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",351.52,"N/A","2025-07-01","2026-06-30"]
[38,"San Francisco","Licensed Physician",99213,2109.13,25,"N/A","N/A","N/A","Assessment","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. 20-29 minutes total time on the date of the encounter.","N/A",878.8,"N/A","2025-07-01","2026-06-30"]
[38,"San Francisco","Licensed Physician",99307,2109.13,15,"N/A","N/A","N/A","Assessment","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. 10-19 minutes total time on the date of the encounter for code selection.","N/A",527.28,"N/A","2025-07-01","2026-06-30"]
[38,"San Francisco","Licensed Physician",99417,2109.13,15,"N/A","N/A","N/A","Assessment","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 (This code does not follow the midpoint rule. A  full 15 minutes must be met before one unit of 99417 can be claimed).","N/A",527.28,"N/A","2025-07-01","2026-06-30"]
[38,"San Francisco","Licensed Physician",99495,2109.13,54,"N/A","N/A","N/A","Discharge","Transitional Care Management Services with the following required elements: Communication (direct contact, telephone, electronic) with the patient and/or caregiver within 2 business days of discharge. Medical decision making of at least moderate complexity during the service period, face-to-face visit within 14 calendar days of discharge, 54 minutes","N/A",1898.22,"N/A","2025-07-01","2026-06-30"]
[38,"San Francisco","Licensed Physician","H0009",2109.13,15,"N/A","N/A","N/A","Recovery","Alcohol and/or drug services:  (hospital inpatient) Acute detoxification, 15 minutes","N/A",527.28,"N/A","2025-07-01","2026-06-30"]
[38,"San Francisco","Licensed Physician","H0050",2109.13,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or Drug Services, brief intervention, 15 minutes","N/A",527.28,"N/A","2025-07-01","2026-06-30"]
[38,"San Francisco","Licensed Physician","T1006",2109.13,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or substance abuse services, family/couple counseling, 15 minutes","N/A",527.28,"N/A","2025-07-01","2026-06-30"]
[38,"San Francisco","Licensed Psychiatric Technician",90882,385.82,15,"N/A","N/A","N/A","Care Coordination","Environmental intervention for medical management purposes on a psychiatric patient's behalf with agencies, employers, or institutions, 15 minutes","N/A",96.46,"N/A","2025-07-01","2026-06-30"]
[38,"San Francisco","Licensed Psychiatric Technician","G0542",385.82,15,"N/A","N/A","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",96.46,"N/A","2025-07-01","2026-06-30"]
[38,"San Francisco","Licensed Psychiatric Technician","H0034",385.82,15,"N/A","N/A","N/A","Medication Services","Medication training and support, 15 minutes","N/A",96.46,"N/A","2025-07-01","2026-06-30"]
[38,"San Francisco","Licensed Vocational Nurse",90882,450.05,15,"N/A","N/A","N/A","Care Coordination","Environmental intervention for medical management purposes on a psychiatric patient's behalf with agencies, employers, or institutions, 15 minutes","N/A",112.51,"N/A","2025-07-01","2026-06-30"]
[38,"San Francisco","Licensed Vocational Nurse","G0396",450.05,23,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 15-30 Minutes","N/A",172.52,"N/A","2025-07-01","2026-06-30"]
[38,"San Francisco","Licensed Vocational Nurse","G0543",450.05,45,"N/A","N/A","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",75.010000000000005,"N/A","2025-07-01","2026-06-30"]
[38,"San Francisco","Licensed Vocational Nurse","H0049",450.05,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening, 15 minutes","N/A",112.51,"N/A","2025-07-01","2026-06-30"]
[38,"San Francisco","Medical Assistant",96170,309.37,30,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; initial 30 minutes","N/A",154.69,"N/A","2025-07-01","2026-06-30"]
[38,"San Francisco","Medical Assistant","H0034",309.37,15,"N/A","HQ","N/A","Medication Services","Medication training and support, 15 minutes","N/A",17.190000000000001,"N/A","2025-07-01","2026-06-30"]
[38,"San Francisco","Medical Assistant","T1013",309.37,"N/A","N/A","N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"N/A","2025-07-01","2026-06-30"]
[38,"San Francisco","MFT/LPCC (Licensed, Waivered or Registered)",97550,548.91,23,"N/A","N/A","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",210.42,"N/A","2025-07-01","2026-06-30"]
[38,"San Francisco","MFT/LPCC (Licensed, Waivered or Registered)","G0540",548.91,15,"N/A","N/A","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",137.22999999999999,"N/A","2025-07-01","2026-06-30"]
[38,"San Francisco","MFT/LPCC (Licensed, Waivered or Registered)","H0004",548.91,15,"N/A","N/A","N/A","Individual Counseling","Behavioral health counseling and therapy, 15 minutes","N/A",137.22999999999999,"N/A","2025-07-01","2026-06-30"]
[38,"San Francisco","MFT/LPCC (Licensed, Waivered or Registered)","T1017",548.91,15,"N/A","N/A","N/A","Care Coordination","Targeted case management, 15 minutes","N/A",137.22999999999999,"N/A","2025-07-01","2026-06-30"]
[38,"San Francisco","Nurse Practitioner",90791,1048.82,60,"N/A","N/A","N/A","Assessment","Psychiatric diagnostic evaluation, 60 minutes","N/A",1048.82,"N/A","2025-07-01","2026-06-30"]
[38,"San Francisco","Nurse Practitioner",96130,1048.82,60,"N/A","N/A","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",1048.82,"N/A","2025-07-01","2026-06-30"]
[38,"San Francisco","Nurse Practitioner",99212,1048.82,15,"N/A","N/A","N/A","Assessment","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. 10-19 minutes total time on the date of the encounter.","N/A",262.20999999999998,"N/A","2025-07-01","2026-06-30"]
[38,"San Francisco","Nurse Practitioner",99235,1048.82,77,"N/A","N/A","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. 70-84 minutes total time on the date of the encounter.","N/A",1345.99,"N/A","2025-07-01","2026-06-30"]
[38,"San Francisco","Nurse Practitioner",99342,1048.82,45,"N/A","N/A","N/A","Assessment","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. 30-59 minutes total time on the date of the encounter.","N/A",786.62,"N/A","2025-07-01","2026-06-30"]
[38,"San Francisco","Nurse Practitioner",99441,1048.82,8,"N/A","N/A","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",139.84,"N/A","2025-07-01","2026-06-30"]
[38,"San Francisco","Nurse Practitioner","G0540",1048.82,15,"N/A","N/A","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",262.20999999999998,"N/A","2025-07-01","2026-06-30"]
[38,"San Francisco","Nurse Practitioner","H0003",1048.82,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening. Laboratory analysis of specimens for presence of alcohol and/or drugs, 15 minutes","N/A",262.20999999999998,"N/A","2025-07-01","2026-06-30"]
[38,"San Francisco","Nurse Practitioner","H0049",1048.82,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening, 15 minutes","N/A",262.20999999999998,"N/A","2025-07-01","2026-06-30"]
[38,"San Francisco","Nurse Practitioner","T1017",1048.82,15,"N/A","N/A","N/A","Care Coordination","Targeted case management, 15 minutes","N/A",262.20999999999998,"N/A","2025-07-01","2026-06-30"]
[38,"San Francisco","Occupational Therapist",96170,730.68,30,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; initial 30 minutes","N/A",365.34,"N/A","2025-07-01","2026-06-30"]
[38,"San Francisco","Occupational Therapist","G0542",730.68,15,"N/A","N/A","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",182.67,"N/A","2025-07-01","2026-06-30"]
[38,"San Francisco","Occupational Therapist","T1017",730.68,15,"N/A","N/A","N/A","Care Coordination","Targeted case management, 15 minutes","N/A",182.67,"N/A","2025-07-01","2026-06-30"]
[38,"San Francisco","Other Qualified Practitioner","G2011",412.97,10,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 5-14 Minutes","N/A",68.83,"N/A","2025-07-01","2026-06-30"]
[38,"San Francisco","Other Qualified Practitioner","H2021",412.97,15,"N/A","N/A","N/A","Treatment Planning","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",103.24,"N/A","2025-07-01","2026-06-30"]
[38,"San Francisco","Physician Assistant",90882,945.93,15,"N/A","N/A","N/A","Care Coordination","Environmental intervention for medical management purposes on a psychiatric patient's behalf with agencies, employers, or institutions, 15 minutes","N/A",236.48,"N/A","2025-07-01","2026-06-30"]
[38,"San Francisco","Physician Assistant",97551,945.93,15,"N/A","N/A","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",236.48,"N/A","2025-07-01","2026-06-30"]
[38,"San Francisco","Physician Assistant",99203,945.93,37,"N/A","N/A","N/A","Assessment","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. 30-44 minutes total time on the date of the encounter.","N/A",583.32000000000005,"N/A","2025-07-01","2026-06-30"]
[38,"San Francisco","Physician Assistant",99309,945.93,37,"N/A","N/A","N/A","Assessment","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. 30-44 minutes total time on the date of the encounter.\t","N/A",583.32000000000005,"N/A","2025-07-01","2026-06-30"]
[38,"San Francisco","Physician Assistant",99368,945.93,60,"N/A","N/A","N/A","Care Coordination","Medical team conference with interdisciplinary team of health care professionals, patient and/or family not present, 30-1440 minutes; participation by nonphysician qualified health care professional","N/A",945.93,"N/A","2025-07-01","2026-06-30"]
[38,"San Francisco","Physician Assistant",99416,945.93,30,"N/A","N/A","N/A","Assessment","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",472.97,"N/A","2025-07-01","2026-06-30"]
[38,"San Francisco","Physician Assistant","G2011",945.93,10,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 5-14 Minutes","N/A",157.66,"N/A","2025-07-01","2026-06-30"]
[38,"San Francisco","Physician Assistant","H0034",945.93,15,"N/A","N/A","N/A","Medication Services","Medication training and support, 15 minutes","N/A",236.48,"N/A","2025-07-01","2026-06-30"]
[38,"San Francisco","Physician Assistant","H2014",945.93,15,"N/A","N/A","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",236.48,"N/A","2025-07-01","2026-06-30"]
[38,"San Francisco","Physician Assistant","T1017",945.93,15,"N/A","N/A","N/A","Care Coordination","Targeted case management, 15 minutes","N/A",236.48,"N/A","2025-07-01","2026-06-30"]
[38,"San Francisco","Psychologist (Licensed or Waivered)",96170,848.22,30,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; initial 30 minutes","N/A",424.11,"N/A","2025-07-01","2026-06-30"]
[38,"San Francisco","Psychologist (Licensed or Waivered)",97552,848.22,45,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[38,"San Francisco","Psychologist (Licensed or Waivered)","G0542",848.22,15,"N/A","N/A","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",212.06,"N/A","2025-07-01","2026-06-30"]
[38,"San Francisco","Psychologist (Licensed or Waivered)","T1013",848.22,"N/A","N/A","N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"N/A","2025-07-01","2026-06-30"]
[38,"San Francisco","Registered Nurse",96160,856.7,15,"N/A","N/A","N/A","Care Coordination","Administration of patient-focused health risk assessment instrument (eg, health hazard appraisal) with scoring and documentation, per standardized instrument, 15 minutes","N/A",214.18,"N/A","2025-07-01","2026-06-30"]
[38,"San Francisco","Registered Nurse",97551,856.7,15,"N/A","N/A","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",214.18,"N/A","2025-07-01","2026-06-30"]
[38,"San Francisco","Registered Nurse","H0001",856.7,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug assessment, 15 minutes","N/A",214.18,"N/A","2025-07-01","2026-06-30"]
[38,"San Francisco","Registered Nurse","H0050",856.7,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or Drug Services, brief intervention, 15 minutes","N/A",214.18,"N/A","2025-07-01","2026-06-30"]
[38,"San Francisco","Registered Nurse","H2021",856.7,15,"N/A","N/A","N/A","Treatment Planning","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",214.18,"N/A","2025-07-01","2026-06-30"]
[38,"San Francisco","Registered Pharmacist","G0540",1009.59,15,"N/A","N/A","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",252.4,"N/A","2025-07-01","2026-06-30"]
[38,"San Francisco","Registered Pharmacist","H0034",1009.59,15,"N/A","HQ","N/A","Medication Services","Medication training and support, 15 minutes","N/A",56.09,"N/A","2025-07-01","2026-06-30"]
[38,"San Francisco","Registered Pharmacist","H2017",1009.59,15,"N/A","HQ","N/A","Recovery","Psychosocial rehabilitation services, 15 Minutes","N/A",56.09,"N/A","2025-07-01","2026-06-30"]
[39,"San Joaquin","Certified AOD Counselor","H0001",319.64,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug assessment, 15 minutes","N/A",79.91,"N/A","2025-07-01","2026-06-30"]
[39,"San Joaquin","Certified AOD Counselor","T1013",319.64,"N/A","N/A","N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"N/A","2025-07-01","2026-06-30"]
[39,"San Joaquin","Community Health Worker","G0019",297.17,60,"N/A","N/A","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",297.17,"N/A","2025-07-01","2026-06-30"]
[39,"San Joaquin","LCSW (Licensed, Waivered or Registered)",90889,385.36,15,"N/A","N/A","N/A","Care Coordination","Preparation of report of patient's psychiatric status, history, treatment, or progress (other than for legal or consultative purposes) for other individuals, agencies, or insurance carriers, 15 minutes","N/A",96.34,"N/A","2025-07-01","2026-06-30"]
[39,"San Joaquin","LCSW (Licensed, Waivered or Registered)","G0540",385.36,15,"N/A","N/A","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",96.34,"N/A","2025-07-01","2026-06-30"]
[39,"San Joaquin","LCSW (Licensed, Waivered or Registered)","H0004",385.36,15,"N/A","N/A","N/A","Individual Counseling","Behavioral health counseling and therapy, 15 minutes","N/A",96.34,"N/A","2025-07-01","2026-06-30"]
[39,"San Joaquin","LCSW (Licensed, Waivered or Registered)","H2035",385.36,60,"N/A","N/A","N/A","Recovery","Alcohol and/or other drug treatment program, per hour ","N/A",385.36,"N/A","2025-07-01","2026-06-30"]
[39,"San Joaquin","Licensed Physician",90865,1480.7,90,"N/A","N/A","N/A","Assessment","Nacrosynthesis for psychiatric diagnostic and therapeutic purposes (eg, sodium amobarbital (Amytal) interview), 90 minutes","N/A",2221.0500000000002,"N/A","2025-07-01","2026-06-30"]
[39,"San Joaquin","Licensed Physician",96202,1480.7,60,"N/A","N/A","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",329.04,"N/A","2025-07-01","2026-06-30"]
[39,"San Joaquin","Licensed Physician",99203,1480.7,37,"N/A","N/A","N/A","Assessment","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. 30-44 minutes total time on the date of the encounter.","N/A",913.1,"N/A","2025-07-01","2026-06-30"]
[39,"San Joaquin","Licensed Physician",99309,1480.7,37,"N/A","N/A","N/A","Assessment","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. 30-44 minutes total time on the date of the encounter.\t","N/A",913.1,"N/A","2025-07-01","2026-06-30"]
[39,"San Joaquin","Licensed Physician",99367,1480.7,60,"N/A","N/A","N/A","Care Coordination","Medical team conference with interdisciplinary team of health care professionals, patient and/or family not present, 30-1440 minutes; participation by physician","N/A",1480.7,"N/A","2025-07-01","2026-06-30"]
[39,"San Joaquin","Licensed Physician",99442,1480.7,16,"N/A","N/A","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",394.85,"N/A","2025-07-01","2026-06-30"]
[39,"San Joaquin","Licensed Physician","H0004",1480.7,15,"N/A","N/A","N/A","Individual Counseling","Behavioral health counseling and therapy, 15 minutes","N/A",370.18,"N/A","2025-07-01","2026-06-30"]
[39,"San Joaquin","Licensed Physician","H0034",1480.7,15,"N/A","HQ","N/A","Medication Services","Medication training and support, 15 minutes","N/A",82.26,"N/A","2025-07-01","2026-06-30"]
[39,"San Joaquin","Licensed Physician","H2014",1480.7,15,"N/A","HQ","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",82.26,"N/A","2025-07-01","2026-06-30"]
[39,"San Joaquin","Licensed Psychiatric Technician",96171,270.86,15,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; each additional 15 minutes","N/A",67.72,"N/A","2025-07-01","2026-06-30"]
[39,"San Joaquin","Licensed Psychiatric Technician","G0542",270.86,15,"N/A","N/A","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",67.72,"N/A","2025-07-01","2026-06-30"]
[39,"San Joaquin","Licensed Psychiatric Technician","G2011",270.86,10,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 5-14 Minutes","N/A",45.14,"N/A","2025-07-01","2026-06-30"]
[39,"San Joaquin","Licensed Psychiatric Technician","T1007",270.86,15,"N/A","N/A","N/A","Treatment Planning","Alcohol and/or substance abuse services, treatment plan development and/or modification, 15 minutes","N/A",67.72,"N/A","2025-07-01","2026-06-30"]
[39,"San Joaquin","Licensed Vocational Nurse",96160,315.95,15,"N/A","N/A","N/A","Care Coordination","Administration of patient-focused health risk assessment instrument (eg, health hazard appraisal) with scoring and documentation, per standardized instrument, 15 minutes","N/A",78.989999999999995,"N/A","2025-07-01","2026-06-30"]
[39,"San Joaquin","Licensed Vocational Nurse","G0539",315.95,23,"N/A","N/A","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",121.11,"N/A","2025-07-01","2026-06-30"]
[39,"San Joaquin","Licensed Vocational Nurse","H1000",315.95,15,"N/A","N/A","N/A","Assessment","Prenatal Care, at risk assessment, 15 minutes ","N/A",78.989999999999995,"N/A","2025-07-01","2026-06-30"]
[39,"San Joaquin","Licensed Vocational Nurse","H2014",315.95,15,"N/A","HQ","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",17.55,"N/A","2025-07-01","2026-06-30"]
[39,"San Joaquin","Medical Assistant",99368,217.19,60,"N/A","N/A","N/A","Care Coordination","Medical team conference with interdisciplinary team of health care professionals, patient and/or family not present, 30-1440 minutes; participation by nonphysician qualified health care professional","N/A",217.19,"N/A","2025-07-01","2026-06-30"]
[39,"San Joaquin","MFT/LPCC (Licensed, Waivered or Registered)",90785,385.36,"N/A","N/A","N/A","N/A","Supplemental","Interactive complexity. There is no assigned time for this code. ","N/A",18.89,"N/A","2025-07-01","2026-06-30"]
[39,"San Joaquin","MFT/LPCC (Licensed, Waivered or Registered)",96170,385.36,30,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; initial 30 minutes","N/A",192.68,"N/A","2025-07-01","2026-06-30"]
[39,"San Joaquin","MFT/LPCC (Licensed, Waivered or Registered)",97552,385.36,45,"N/A","N/A","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",64.23,"N/A","2025-07-01","2026-06-30"]
[39,"San Joaquin","MFT/LPCC (Licensed, Waivered or Registered)","H0007",385.36,15,"N/A","N/A","N/A","Crisis Intervention","Alcohol and/or drug services; crisis intervention (outpatient), 15 minutes","N/A",96.34,"N/A","2025-07-01","2026-06-30"]
[39,"San Joaquin","MFT/LPCC (Licensed, Waivered or Registered)","H2017",385.36,15,"N/A","HQ","N/A","Recovery","Psychosocial rehabilitation services, 15 Minutes","N/A",21.41,"N/A","2025-07-01","2026-06-30"]
[39,"San Joaquin","MFT/LPCC (Licensed, Waivered or Registered)","T2021",385.36,15,"N/A","N/A","N/A","Family Therapy","Therapy substitute, 15 minutes","N/A",96.34,"N/A","2025-07-01","2026-06-30"]
[39,"San Joaquin","Nurse Practitioner",96170,736.31,30,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; initial 30 minutes","N/A",368.16,"N/A","2025-07-01","2026-06-30"]
[39,"San Joaquin","Nurse Practitioner",99202,736.31,22,"N/A","N/A","N/A","Assessment","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. 15-29 minutes total time on the date of the encounter.","N/A",269.98,"N/A","2025-07-01","2026-06-30"]
[39,"San Joaquin","Nurse Practitioner",99214,736.31,35,"N/A","N/A","N/A","Assessment","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. 30-39 minutes total time on the date of the encounter.","N/A",429.51,"N/A","2025-07-01","2026-06-30"]
[39,"San Joaquin","Nurse Practitioner",99307,736.31,15,"N/A","N/A","N/A","Assessment","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. 10-19 minutes total time on the date of the encounter for code selection.","N/A",184.08,"N/A","2025-07-01","2026-06-30"]
[39,"San Joaquin","Nurse Practitioner",99416,736.31,30,"N/A","N/A","N/A","Assessment","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",368.16,"N/A","2025-07-01","2026-06-30"]
[39,"San Joaquin","Nurse Practitioner",99443,736.31,26,"N/A","N/A","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",319.07,"N/A","2025-07-01","2026-06-30"]
[39,"San Joaquin","Nurse Practitioner","G0542",736.31,15,"N/A","N/A","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",184.08,"N/A","2025-07-01","2026-06-30"]
[39,"San Joaquin","Nurse Practitioner","H2014",736.31,15,"N/A","HQ","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",40.909999999999997,"N/A","2025-07-01","2026-06-30"]
[39,"San Joaquin","Nurse Practitioner","H2027",736.31,15,"N/A","N/A","N/A","Treatment Planning","Psychoeducational Service, 15 minutes","N/A",184.08,"N/A","2025-07-01","2026-06-30"]
[39,"San Joaquin","Nurse Practitioner","T2021",736.31,15,"N/A",22,"N/A","Family Therapy","Therapy substitute, 15 minutes","N/A",187.09,"N/A","2025-07-01","2026-06-30"]
[39,"San Joaquin","Occupational Therapist","H0004",512.97,15,"N/A","N/A","N/A","Individual Counseling","Behavioral health counseling and therapy, 15 minutes","N/A",128.24,"N/A","2025-07-01","2026-06-30"]
[39,"San Joaquin","Occupational Therapist","H2021",512.97,15,"N/A","N/A","N/A","Treatment Planning","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",128.24,"N/A","2025-07-01","2026-06-30"]
[39,"San Joaquin","Other Qualified Practitioner",90785,289.93,"N/A","N/A","N/A","N/A","Supplemental","Interactive complexity. There is no assigned time for this code. ","N/A",18.32,"N/A","2025-07-01","2026-06-30"]
[39,"San Joaquin","Other Qualified Practitioner","T1013",289.93,"N/A","N/A","N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"N/A","2025-07-01","2026-06-30"]
[39,"San Joaquin","Physician Assistant",90847,664.09,50,"N/A","N/A","N/A","Family Therapy","Family Psychotherapy (Conjoint psychotheraphy with Patient Present), 50 minutes","N/A",553.41,"N/A","2025-07-01","2026-06-30"]
[39,"San Joaquin","Physician Assistant",90889,664.09,15,"N/A","N/A","N/A","Care Coordination","Preparation of report of patient's psychiatric status, history, treatment, or progress (other than for legal or consultative purposes) for other individuals, agencies, or insurance carriers, 15 minutes","N/A",166.02,"N/A","2025-07-01","2026-06-30"]
[39,"San Joaquin","Physician Assistant",98966,664.09,8,"N/A","N/A","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",88.55,"N/A","2025-07-01","2026-06-30"]
[39,"San Joaquin","Physician Assistant",99305,664.09,42,"N/A","N/A","N/A","Assessment","\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. 35-49 minutes total time on the date of the encounter.","N/A",464.86,"N/A","2025-07-01","2026-06-30"]
[39,"San Joaquin","Physician Assistant",99341,664.09,22,"N/A","N/A","N/A","Assessment","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. 15-29 minutes total time on the date of the encounter.","N/A",243.5,"N/A","2025-07-01","2026-06-30"]
[39,"San Joaquin","Physician Assistant",99409,664.09,60,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or substance (other than tobacco) abuse structural screening (eg, AUDIT ,DAST), and brief intervention (SBI) services. 31-1440 minutes. ","N/A",664.09,"N/A","2025-07-01","2026-06-30"]
[39,"San Joaquin","Physician Assistant","G0539",664.09,23,"N/A","N/A","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",254.57,"N/A","2025-07-01","2026-06-30"]
[39,"San Joaquin","Physician Assistant","H0004",664.09,15,"N/A","N/A","N/A","Individual Counseling","Behavioral health counseling and therapy, 15 minutes","N/A",166.02,"N/A","2025-07-01","2026-06-30"]
[39,"San Joaquin","Physician Assistant","H0049",664.09,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening, 15 minutes","N/A",166.02,"N/A","2025-07-01","2026-06-30"]
[39,"San Joaquin","Physician Assistant","T2021",664.09,15,"N/A",22,"N/A","Family Therapy","Therapy substitute, 15 minutes","N/A",169.03,"N/A","2025-07-01","2026-06-30"]
[39,"San Joaquin","Psychologist (Licensed or Waivered)",90889,595.49,15,"N/A","N/A","N/A","Care Coordination","Preparation of report of patient's psychiatric status, history, treatment, or progress (other than for legal or consultative purposes) for other individuals, agencies, or insurance carriers, 15 minutes","N/A",148.87,"N/A","2025-07-01","2026-06-30"]
[39,"San Joaquin","Psychologist (Licensed or Waivered)",96202,595.49,60,"N/A","N/A","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",132.33000000000001,"N/A","2025-07-01","2026-06-30"]
[39,"San Joaquin","Psychologist (Licensed or Waivered)","H0003",595.49,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening. Laboratory analysis of specimens for presence of alcohol and/or drugs, 15 minutes","N/A",148.87,"N/A","2025-07-01","2026-06-30"]
[39,"San Joaquin","Psychologist (Licensed or Waivered)","H2027",595.49,15,"N/A","N/A","N/A","Treatment Planning","Psychoeducational Service, 15 minutes","N/A",148.87,"N/A","2025-07-01","2026-06-30"]
[39,"San Joaquin","Psychologist (Licensed or Waivered)","T2021",595.49,15,"N/A","HQ","N/A","Family Therapy","Therapy substitute, 15 minutes","N/A",33.08,"N/A","2025-07-01","2026-06-30"]
[39,"San Joaquin","Registered Nurse",96171,601.44000000000005,15,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; each additional 15 minutes","N/A",150.36000000000001,"N/A","2025-07-01","2026-06-30"]
[39,"San Joaquin","Registered Nurse","G0541",601.44000000000005,23,"N/A","N/A","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",230.55,"N/A","2025-07-01","2026-06-30"]
[39,"San Joaquin","Registered Nurse","H0004",601.44000000000005,15,"N/A","N/A","N/A","Individual Counseling","Behavioral health counseling and therapy, 15 minutes","N/A",150.36000000000001,"N/A","2025-07-01","2026-06-30"]
[39,"San Joaquin","Registered Nurse","H2014",601.44000000000005,15,"N/A","N/A","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",150.36000000000001,"N/A","2025-07-01","2026-06-30"]
[39,"San Joaquin","Registered Pharmacist",99368,708.77,60,"N/A","N/A","N/A","Care Coordination","Medical team conference with interdisciplinary team of health care professionals, patient and/or family not present, 30-1440 minutes; participation by nonphysician qualified health care professional","N/A",708.77,"N/A","2025-07-01","2026-06-30"]
[39,"San Joaquin","Registered Pharmacist","G0542",708.77,15,"N/A","N/A","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",177.19,"N/A","2025-07-01","2026-06-30"]
[39,"San Joaquin","Registered Pharmacist","H0048",708.77,15,"N/A","N/A","N/A","Assessment","Alcohol and/or other drug testing. Collection and handling only, specimens other than blood, 15 minutes","N/A",177.19,"N/A","2025-07-01","2026-06-30"]
[40,"San Luis Obispo","Certified AOD Counselor","H0005",287.76,15,"N/A","N/A","N/A","Group Counseling","Alcohol and/or drug services; group counseling by a clinician, 15 minutes ","N/A",15.99,"N/A","2025-07-01","2026-06-30"]
[40,"San Luis Obispo","Certified AOD Counselor","H2021",287.76,15,"N/A","N/A","N/A","Treatment Planning","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",71.94,"N/A","2025-07-01","2026-06-30"]
[40,"San Luis Obispo","Community Health Worker","G0019",267.52999999999997,60,"N/A","N/A","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",267.52999999999997,"N/A","2025-07-01","2026-06-30"]
[40,"San Luis Obispo","LCSW (Licensed, Waivered or Registered)",96171,346.92,15,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; each additional 15 minutes","N/A",86.73,"N/A","2025-07-01","2026-06-30"]
[40,"San Luis Obispo","LCSW (Licensed, Waivered or Registered)","G0323",346.92,60,"N/A","N/A","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",346.92,"N/A","2025-07-01","2026-06-30"]
[40,"San Luis Obispo","LCSW (Licensed, Waivered or Registered)","G0542",346.92,15,"N/A","N/A","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",86.73,"N/A","2025-07-01","2026-06-30"]
[40,"San Luis Obispo","LCSW (Licensed, Waivered or Registered)","H2035",346.92,60,"N/A","N/A","N/A","Recovery","Alcohol and/or other drug treatment program, per hour ","N/A",346.92,"N/A","2025-07-01","2026-06-30"]
[40,"San Luis Obispo","Licensed Physician",90865,1333.02,90,"N/A","N/A","N/A","Assessment","Nacrosynthesis for psychiatric diagnostic and therapeutic purposes (eg, sodium amobarbital (Amytal) interview), 90 minutes","N/A",1999.53,"N/A","2025-07-01","2026-06-30"]
[40,"San Luis Obispo","Licensed Physician",90885,1333.02,60,"N/A","N/A","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",1333.02,"N/A","2025-07-01","2026-06-30"]
[40,"San Luis Obispo","Licensed Physician",97550,1333.02,23,"N/A","N/A","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",510.99,"N/A","2025-07-01","2026-06-30"]
[40,"San Luis Obispo","Licensed Physician",99305,1333.02,42,"N/A","N/A","N/A","Assessment","\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. 35-49 minutes total time on the date of the encounter.","N/A",933.11,"N/A","2025-07-01","2026-06-30"]
[40,"San Luis Obispo","Licensed Physician",99341,1333.02,22,"N/A","N/A","N/A","Assessment","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. 15-29 minutes total time on the date of the encounter.","N/A",488.77,"N/A","2025-07-01","2026-06-30"]
[40,"San Luis Obispo","Licensed Physician",99409,1333.02,60,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or substance (other than tobacco) abuse structural screening (eg, AUDIT ,DAST), and brief intervention (SBI) services. 31-1440 minutes. ","N/A",1333.02,"N/A","2025-07-01","2026-06-30"]
[40,"San Luis Obispo","Licensed Physician",99491,1333.02,30,"N/A","N/A","N/A","Care Coordination","Chronic care management services, first 30 minutes provided personally by a physician or other qualified health care professional, per calendar month. At least 30 minutes of service must be provided before 1 unit of this code can be reported.","N/A",666.51,"N/A","2025-07-01","2026-06-30"]
[40,"San Luis Obispo","Licensed Physician","H0007",1333.02,15,"N/A","N/A","N/A","Crisis Intervention","Alcohol and/or drug services; crisis intervention (outpatient), 15 minutes","N/A",333.26,"N/A","2025-07-01","2026-06-30"]
[40,"San Luis Obispo","Licensed Physician","H0048",1333.02,15,"N/A","N/A","N/A","Assessment","Alcohol and/or other drug testing. Collection and handling only, specimens other than blood, 15 minutes","N/A",333.26,"N/A","2025-07-01","2026-06-30"]
[40,"San Luis Obispo","Licensed Physician","T2021",1333.02,15,"N/A","N/A","N/A","Family Therapy","Therapy substitute, 15 minutes","N/A",333.26,"N/A","2025-07-01","2026-06-30"]
[40,"San Luis Obispo","Licensed Psychiatric Technician",96203,243.84,15,"N/A","N/A","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",13.55,"N/A","2025-07-01","2026-06-30"]
[40,"San Luis Obispo","Licensed Psychiatric Technician","G0539",243.84,23,"N/A","N/A","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",93.47,"N/A","2025-07-01","2026-06-30"]
[40,"San Luis Obispo","Licensed Psychiatric Technician","H0048",243.84,15,"N/A","N/A","N/A","Assessment","Alcohol and/or other drug testing. Collection and handling only, specimens other than blood, 15 minutes","N/A",60.96,"N/A","2025-07-01","2026-06-30"]
[40,"San Luis Obispo","Licensed Psychiatric Technician","T1017",243.84,15,"N/A","N/A","N/A","Care Coordination","Targeted case management, 15 minutes","N/A",60.96,"N/A","2025-07-01","2026-06-30"]
[40,"San Luis Obispo","Licensed Vocational Nurse",96171,284.44,15,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; each additional 15 minutes","N/A",71.11,"N/A","2025-07-01","2026-06-30"]
[40,"San Luis Obispo","Licensed Vocational Nurse","H0034",284.44,15,"N/A","N/A","N/A","Medication Services","Medication training and support, 15 minutes","N/A",71.11,"N/A","2025-07-01","2026-06-30"]
[40,"San Luis Obispo","Licensed Vocational Nurse","H2014",284.44,15,"N/A","N/A","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",71.11,"N/A","2025-07-01","2026-06-30"]
[40,"San Luis Obispo","Licensed Vocational Nurse","H2035",284.44,60,"N/A","N/A","N/A","Recovery","Alcohol and/or other drug treatment program, per hour ","N/A",284.44,"N/A","2025-07-01","2026-06-30"]
[40,"San Luis Obispo","Medical Assistant","H2017",195.53,15,"N/A","N/A","N/A","Recovery","Psychosocial rehabilitation services, 15 Minutes","N/A",48.88,"N/A","2025-07-01","2026-06-30"]
[40,"San Luis Obispo","MFT/LPCC (Licensed, Waivered or Registered)",90846,346.92,50,"N/A","N/A","N/A","Family Therapy","Family Psychotherapy (Without the Patient Present), 50 minutes","N/A",289.10000000000002,"N/A","2025-07-01","2026-06-30"]
[40,"San Luis Obispo","MFT/LPCC (Licensed, Waivered or Registered)",90889,346.92,15,"N/A","N/A","N/A","Care Coordination","Preparation of report of patient's psychiatric status, history, treatment, or progress (other than for legal or consultative purposes) for other individuals, agencies, or insurance carriers, 15 minutes","N/A",86.73,"N/A","2025-07-01","2026-06-30"]
[40,"San Luis Obispo","MFT/LPCC (Licensed, Waivered or Registered)","G2011",346.92,10,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 5-14 Minutes","N/A",57.82,"N/A","2025-07-01","2026-06-30"]
[40,"San Luis Obispo","MFT/LPCC (Licensed, Waivered or Registered)","H0050",346.92,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or Drug Services, brief intervention, 15 minutes","N/A",86.73,"N/A","2025-07-01","2026-06-30"]
[40,"San Luis Obispo","MFT/LPCC (Licensed, Waivered or Registered)","H2027",346.92,15,"N/A","N/A","N/A","Treatment Planning","Psychoeducational Service, 15 minutes","N/A",86.73,"N/A","2025-07-01","2026-06-30"]
[40,"San Luis Obispo","Nurse Practitioner",90889,662.88,15,"N/A","N/A","N/A","Care Coordination","Preparation of report of patient's psychiatric status, history, treatment, or progress (other than for legal or consultative purposes) for other individuals, agencies, or insurance carriers, 15 minutes","N/A",165.72,"N/A","2025-07-01","2026-06-30"]
[40,"San Luis Obispo","Nurse Practitioner",96202,662.88,60,"N/A","N/A","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",147.31,"N/A","2025-07-01","2026-06-30"]
[40,"San Luis Obispo","Nurse Practitioner",99204,662.88,52,"N/A","N/A","N/A","Assessment","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. 45-59 minutes total time on the date of the encounter.","N/A",574.5,"N/A","2025-07-01","2026-06-30"]
[40,"San Luis Obispo","Nurse Practitioner",99310,662.88,52,"N/A","N/A","N/A","Assessment","\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. 45-59 minutes total time on the date of the encounter.","N/A",574.5,"N/A","2025-07-01","2026-06-30"]
[40,"San Luis Obispo","Nurse Practitioner",99408,662.88,23,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or substance (other than tobacco) abuse structural screening (eg, AUDIT ,DAST), and brief intervention (SBI) services. 15-30 minutes. ","N/A",254.1,"N/A","2025-07-01","2026-06-30"]
[40,"San Luis Obispo","Nurse Practitioner",99424,662.88,30,"N/A","N/A","N/A","Care Coordination","Principal care management services, for a single high-risk disease, first 30 minutes provided personally by a physician or other qualified health care professional, per calendar month. At least 30 minutes of service must be provided before 1 unit of this code can be reported.","N/A",331.44,"N/A","2025-07-01","2026-06-30"]
[40,"San Luis Obispo","Nurse Practitioner","H0001",662.88,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug assessment, 15 minutes","N/A",165.72,"N/A","2025-07-01","2026-06-30"]
[40,"San Luis Obispo","Nurse Practitioner","H0048",662.88,15,"N/A","N/A","N/A","Assessment","Alcohol and/or other drug testing. Collection and handling only, specimens other than blood, 15 minutes","N/A",165.72,"N/A","2025-07-01","2026-06-30"]
[40,"San Luis Obispo","Nurse Practitioner","H2015",662.88,15,"N/A","N/A","N/A","Recovery","Comprehensive community support services, 15 minutes","N/A",165.72,"N/A","2025-07-01","2026-06-30"]
[40,"San Luis Obispo","Occupational Therapist",90889,461.81,15,"N/A","N/A","N/A","Care Coordination","Preparation of report of patient's psychiatric status, history, treatment, or progress (other than for legal or consultative purposes) for other individuals, agencies, or insurance carriers, 15 minutes","N/A",115.45,"N/A","2025-07-01","2026-06-30"]
[40,"San Luis Obispo","Occupational Therapist","G0540",461.81,15,"N/A","N/A","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",115.45,"N/A","2025-07-01","2026-06-30"]
[40,"San Luis Obispo","Occupational Therapist","H0033",461.81,15,"N/A","N/A","N/A","Medication Services","Medication administration, direct observation, 15 minutes","N/A",115.45,"N/A","2025-07-01","2026-06-30"]
[40,"San Luis Obispo","Occupational Therapist","T1007",461.81,15,"N/A","N/A","N/A","Treatment Planning","Alcohol and/or substance abuse services, treatment plan development and/or modification, 15 minutes","N/A",115.45,"N/A","2025-07-01","2026-06-30"]
[40,"San Luis Obispo","Other Qualified Practitioner","H2017",261.01,15,"N/A","N/A","N/A","Recovery","Psychosocial rehabilitation services, 15 Minutes","N/A",65.25,"N/A","2025-07-01","2026-06-30"]
[40,"San Luis Obispo","Other Qualified Practitioner","T2024",261.01,15,"N/A","N/A","N/A","Assessment","Assessment substitute, 15 minutes","N/A",65.25,"N/A","2025-07-01","2026-06-30"]
[40,"San Luis Obispo","Physician Assistant",90865,597.85,90,"N/A","N/A","N/A","Assessment","Nacrosynthesis for psychiatric diagnostic and therapeutic purposes (eg, sodium amobarbital (Amytal) interview), 90 minutes","N/A",896.78,"N/A","2025-07-01","2026-06-30"]
[40,"San Luis Obispo","Physician Assistant",99203,597.85,37,"N/A","N/A","N/A","Assessment","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. 30-44 minutes total time on the date of the encounter.","N/A",368.67,"N/A","2025-07-01","2026-06-30"]
[40,"San Luis Obispo","Physician Assistant",99236,597.85,92,"N/A","N/A","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. 85-99 minutes total time on the date of the encounter.","N/A",916.7,"N/A","2025-07-01","2026-06-30"]
[40,"San Luis Obispo","Physician Assistant",99307,597.85,15,"N/A","N/A","N/A","Assessment","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. 10-19 minutes total time on the date of the encounter for code selection.","N/A",149.46,"N/A","2025-07-01","2026-06-30"]
[40,"San Luis Obispo","Physician Assistant",99417,597.85,15,"N/A","N/A","N/A","Assessment","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 (This code does not follow the midpoint rule. A  full 15 minutes must be met before one unit of 99417 can be claimed).","N/A",149.46,"N/A","2025-07-01","2026-06-30"]
[40,"San Luis Obispo","Physician Assistant",99496,597.85,75,"N/A","N/A","N/A","Discharge","Transitional Care Management Services with the following required elements: Communication (direct contact, telephone, electronic) with the patient and/or caregiver within 2 business days of discharge. Medical decision making of high complexity during the service period, face-to-face visit within 7 calendar days of discharge, 75 minutes","N/A",747.31,"N/A","2025-07-01","2026-06-30"]
[40,"San Luis Obispo","Physician Assistant","G0541",597.85,23,"N/A","N/A","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",229.18,"N/A","2025-07-01","2026-06-30"]
[40,"San Luis Obispo","Physician Assistant","H0008",597.85,15,"N/A","N/A","N/A","Recovery","Alcohol and/or drug services: (hospital inpatient) Subacute detoxification, 15 minutes","N/A",149.46,"N/A","2025-07-01","2026-06-30"]
[40,"San Luis Obispo","Physician Assistant","T1013",597.85,"N/A","N/A","N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"N/A","2025-07-01","2026-06-30"]
[40,"San Luis Obispo","Psychologist (Licensed or Waivered)",90785,536.09,"N/A","N/A","N/A","N/A","Supplemental","Interactive complexity. There is no assigned time for this code. ","N/A",18.89,"N/A","2025-07-01","2026-06-30"]
[40,"San Luis Obispo","Psychologist (Licensed or Waivered)",96131,536.09,60,"N/A","N/A","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",536.09,"N/A","2025-07-01","2026-06-30"]
[40,"San Luis Obispo","Psychologist (Licensed or Waivered)","G0540",536.09,15,"N/A","N/A","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",134.02000000000001,"N/A","2025-07-01","2026-06-30"]
[40,"San Luis Obispo","Psychologist (Licensed or Waivered)","H0003",536.09,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening. Laboratory analysis of specimens for presence of alcohol and/or drugs, 15 minutes","N/A",134.02000000000001,"N/A","2025-07-01","2026-06-30"]
[40,"San Luis Obispo","Psychologist (Licensed or Waivered)","T2021",536.09,15,"N/A","HQ","N/A","Family Therapy","Therapy substitute, 15 minutes","N/A",29.78,"N/A","2025-07-01","2026-06-30"]
[40,"San Luis Obispo","Registered Nurse",97550,541.45000000000005,23,"N/A","N/A","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",207.56,"N/A","2025-07-01","2026-06-30"]
[40,"San Luis Obispo","Registered Nurse",99424,541.45000000000005,30,"N/A","N/A","N/A","Care Coordination","Principal care management services, for a single high-risk disease, first 30 minutes provided personally by a physician or other qualified health care professional, per calendar month. At least 30 minutes of service must be provided before 1 unit of this code can be reported.","N/A",270.73,"N/A","2025-07-01","2026-06-30"]
[40,"San Luis Obispo","Registered Nurse","G0543",541.45000000000005,45,"N/A","N/A","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",90.24,"N/A","2025-07-01","2026-06-30"]
[40,"San Luis Obispo","Registered Nurse","H2014",541.45000000000005,15,"N/A","N/A","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",135.36000000000001,"N/A","2025-07-01","2026-06-30"]
[40,"San Luis Obispo","Registered Nurse","T1006",541.45000000000005,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or substance abuse services, family/couple counseling, 15 minutes","N/A",135.36000000000001,"N/A","2025-07-01","2026-06-30"]
[40,"San Luis Obispo","Registered Pharmacist","G0397",638.08000000000004,60,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 31-1440 Minutes","N/A",638.08000000000004,"N/A","2025-07-01","2026-06-30"]
[40,"San Luis Obispo","Registered Pharmacist","H1000",638.08000000000004,15,"N/A","N/A","N/A","Assessment","Prenatal Care, at risk assessment, 15 minutes ","N/A",159.52000000000001,"N/A","2025-07-01","2026-06-30"]
[41,"San Mateo","Certified AOD Counselor","G0397",495.92,60,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 31-1440 Minutes","N/A",495.92,"N/A","2025-07-01","2026-06-30"]
[41,"San Mateo","Certified AOD Counselor","H0049",495.92,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening, 15 minutes","N/A",123.98,"N/A","2025-07-01","2026-06-30"]
[41,"San Mateo","Certified AOD Counselor","H2035",495.92,60,"N/A","N/A","N/A","Recovery","Alcohol and/or other drug treatment program, per hour ","N/A",495.92,"N/A","2025-07-01","2026-06-30"]
[41,"San Mateo","LCSW (Licensed, Waivered or Registered)",90791,597.87,60,"N/A","N/A","N/A","Assessment","Psychiatric diagnostic evaluation, 60 minutes","N/A",597.87,"N/A","2025-07-01","2026-06-30"]
[41,"San Mateo","LCSW (Licensed, Waivered or Registered)",96203,597.87,15,"N/A","N/A","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",33.22,"N/A","2025-07-01","2026-06-30"]
[41,"San Mateo","LCSW (Licensed, Waivered or Registered)","G0397",597.87,60,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 31-1440 Minutes","N/A",597.87,"N/A","2025-07-01","2026-06-30"]
[41,"San Mateo","LCSW (Licensed, Waivered or Registered)","H2017",597.87,15,"N/A","HQ","N/A","Recovery","Psychosocial rehabilitation services, 15 Minutes","N/A",33.22,"N/A","2025-07-01","2026-06-30"]
[41,"San Mateo","LCSW (Licensed, Waivered or Registered)","T1007",597.87,15,"N/A","N/A","N/A","Treatment Planning","Alcohol and/or substance abuse services, treatment plan development and/or modification, 15 minutes","N/A",149.47,"N/A","2025-07-01","2026-06-30"]
[41,"San Mateo","Licensed Physician",90846,2297.2800000000002,50,"N/A","N/A","N/A","Family Therapy","Family Psychotherapy (Without the Patient Present), 50 minutes","N/A",1914.4,"N/A","2025-07-01","2026-06-30"]
[41,"San Mateo","Licensed Physician",96203,2297.2800000000002,15,"N/A","N/A","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",127.63,"N/A","2025-07-01","2026-06-30"]
[41,"San Mateo","Licensed Physician",99236,2297.2800000000002,92,"N/A","N/A","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. 85-99 minutes total time on the date of the encounter.","N/A",3522.5,"N/A","2025-07-01","2026-06-30"]
[41,"San Mateo","Licensed Physician",99307,2297.2800000000002,15,"N/A","N/A","N/A","Assessment","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. 10-19 minutes total time on the date of the encounter for code selection.","N/A",574.32000000000005,"N/A","2025-07-01","2026-06-30"]
[41,"San Mateo","Licensed Physician",99417,2297.2800000000002,15,"N/A","N/A","N/A","Assessment","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 (This code does not follow the midpoint rule. A  full 15 minutes must be met before one unit of 99417 can be claimed).","N/A",574.32000000000005,"N/A","2025-07-01","2026-06-30"]
[41,"San Mateo","Licensed Physician",99495,2297.2800000000002,54,"N/A","N/A","N/A","Discharge","Transitional Care Management Services with the following required elements: Communication (direct contact, telephone, electronic) with the patient and/or caregiver within 2 business days of discharge. Medical decision making of at least moderate complexity during the service period, face-to-face visit within 14 calendar days of discharge, 54 minutes","N/A",2067.5500000000002,"N/A","2025-07-01","2026-06-30"]
[41,"San Mateo","Licensed Physician","H0005",2297.2800000000002,15,"N/A","N/A","N/A","Group Counseling","Alcohol and/or drug services; group counseling by a clinician, 15 minutes ","N/A",127.63,"N/A","2025-07-01","2026-06-30"]
[41,"San Mateo","Licensed Physician","H1000",2297.2800000000002,15,"N/A","N/A","N/A","Assessment","Prenatal Care, at risk assessment, 15 minutes ","N/A",574.32000000000005,"N/A","2025-07-01","2026-06-30"]
[41,"San Mateo","Licensed Physician","T1007",2297.2800000000002,15,"N/A","N/A","N/A","Treatment Planning","Alcohol and/or substance abuse services, treatment plan development and/or modification, 15 minutes","N/A",574.32000000000005,"N/A","2025-07-01","2026-06-30"]
[41,"San Mateo","Licensed Physician","T2024",2297.2800000000002,15,"N/A","N/A","N/A","Assessment","Assessment substitute, 15 minutes","N/A",574.32000000000005,"N/A","2025-07-01","2026-06-30"]
[41,"San Mateo","Licensed Psychiatric Technician",97551,420.23,15,"N/A","N/A","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",105.06,"N/A","2025-07-01","2026-06-30"]
[41,"San Mateo","Licensed Psychiatric Technician","H0034",420.23,15,"N/A","N/A","N/A","Medication Services","Medication training and support, 15 minutes","N/A",105.06,"N/A","2025-07-01","2026-06-30"]
[41,"San Mateo","Licensed Vocational Nurse",90785,490.19,"N/A","N/A","N/A","N/A","Supplemental","Interactive complexity. There is no assigned time for this code. ","N/A",18.89,"N/A","2025-07-01","2026-06-30"]
[41,"San Mateo","Licensed Vocational Nurse",90882,490.19,15,"N/A","N/A","N/A","Care Coordination","Environmental intervention for medical management purposes on a psychiatric patient's behalf with agencies, employers, or institutions, 15 minutes","N/A",122.55,"N/A","2025-07-01","2026-06-30"]
[41,"San Mateo","Licensed Vocational Nurse","G2011",490.19,10,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 5-14 Minutes","N/A",81.7,"N/A","2025-07-01","2026-06-30"]
[41,"San Mateo","Licensed Vocational Nurse","H0049",490.19,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening, 15 minutes","N/A",122.55,"N/A","2025-07-01","2026-06-30"]
[41,"San Mateo","Licensed Vocational Nurse","H2017",490.19,15,"N/A","HQ","N/A","Recovery","Psychosocial rehabilitation services, 15 Minutes","N/A",27.23,"N/A","2025-07-01","2026-06-30"]
[41,"San Mateo","Medical Assistant","H0034",336.97,15,"N/A","HQ","N/A","Medication Services","Medication training and support, 15 minutes","N/A",18.72,"N/A","2025-07-01","2026-06-30"]
[41,"San Mateo","Medical Assistant","T1013",336.97,"N/A","N/A","N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"N/A","2025-07-01","2026-06-30"]
[41,"San Mateo","MFT/LPCC (Licensed, Waivered or Registered)",90849,597.87,84,"N/A","N/A","N/A","Family Therapy","Multiple-family group psychotherapy, 84 minutes","N/A",186,"N/A","2025-07-01","2026-06-30"]
[41,"San Mateo","MFT/LPCC (Licensed, Waivered or Registered)","G0323",597.87,60,"N/A","N/A","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",597.87,"N/A","2025-07-01","2026-06-30"]
[41,"San Mateo","MFT/LPCC (Licensed, Waivered or Registered)","H0004",597.87,15,"N/A","N/A","N/A","Individual Counseling","Behavioral health counseling and therapy, 15 minutes","N/A",149.47,"N/A","2025-07-01","2026-06-30"]
[41,"San Mateo","MFT/LPCC (Licensed, Waivered or Registered)","H2014",597.87,15,"N/A","HQ","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",33.22,"N/A","2025-07-01","2026-06-30"]
[41,"San Mateo","Nurse Practitioner",90849,1142.3800000000001,84,"N/A","N/A","N/A","Family Therapy","Multiple-family group psychotherapy, 84 minutes","N/A",355.41,"N/A","2025-07-01","2026-06-30"]
[41,"San Mateo","Nurse Practitioner",96160,1142.3800000000001,15,"N/A","N/A","N/A","Care Coordination","Administration of patient-focused health risk assessment instrument (eg, health hazard appraisal) with scoring and documentation, per standardized instrument, 15 minutes","N/A",285.60000000000002,"N/A","2025-07-01","2026-06-30"]
[41,"San Mateo","Nurse Practitioner",97550,1142.3800000000001,23,"N/A","N/A","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",437.91,"N/A","2025-07-01","2026-06-30"]
[41,"San Mateo","Nurse Practitioner",99306,1142.3800000000001,57,"N/A","N/A","N/A","Assessment","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. 50-64 minutes total time on the date of the encounter.","N/A",1085.26,"N/A","2025-07-01","2026-06-30"]
[41,"San Mateo","Nurse Practitioner",99342,1142.3800000000001,45,"N/A","N/A","N/A","Assessment","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. 30-59 minutes total time on the date of the encounter.","N/A",856.79,"N/A","2025-07-01","2026-06-30"]
[41,"San Mateo","Nurse Practitioner",99415,1142.3800000000001,60,"N/A","N/A","N/A","Assessment","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",1142.3800000000001,"N/A","2025-07-01","2026-06-30"]
[41,"San Mateo","Nurse Practitioner",99441,1142.3800000000001,8,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[41,"San Mateo","Nurse Practitioner","H0004",1142.3800000000001,15,"N/A","N/A","N/A","Individual Counseling","Behavioral health counseling and therapy, 15 minutes","N/A",285.60000000000002,"N/A","2025-07-01","2026-06-30"]
[41,"San Mateo","Nurse Practitioner","H0050",1142.3800000000001,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or Drug Services, brief intervention, 15 minutes","N/A",285.60000000000002,"N/A","2025-07-01","2026-06-30"]
[41,"San Mateo","Nurse Practitioner","T2024",1142.3800000000001,15,"N/A","N/A","N/A","Assessment","Assessment substitute, 15 minutes","N/A",285.60000000000002,"N/A","2025-07-01","2026-06-30"]
[41,"San Mateo","Occupational Therapist",96170,795.86,30,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; initial 30 minutes","N/A",397.93,"N/A","2025-07-01","2026-06-30"]
[41,"San Mateo","Occupational Therapist","G0542",795.86,15,"N/A","N/A","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",198.97,"N/A","2025-07-01","2026-06-30"]
[41,"San Mateo","Occupational Therapist","H2014",795.86,15,"N/A","N/A","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",198.97,"N/A","2025-07-01","2026-06-30"]
[41,"San Mateo","Other Qualified Practitioner","H2014",449.81,15,"N/A","HQ","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",24.99,"N/A","2025-07-01","2026-06-30"]
[41,"San Mateo","Other Qualified Practitioner","H2027",449.81,15,"N/A","N/A","N/A","Treatment Planning","Psychoeducational Service, 15 minutes","N/A",112.45,"N/A","2025-07-01","2026-06-30"]
[41,"San Mateo","Physician Assistant",90887,1030.32,50,"N/A","N/A","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",858.6,"N/A","2025-07-01","2026-06-30"]
[41,"San Mateo","Physician Assistant",97551,1030.32,15,"N/A","N/A","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",257.58,"N/A","2025-07-01","2026-06-30"]
[41,"San Mateo","Physician Assistant",99203,1030.32,37,"N/A","N/A","N/A","Assessment","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. 30-44 minutes total time on the date of the encounter.","N/A",635.36,"N/A","2025-07-01","2026-06-30"]
[41,"San Mateo","Physician Assistant",99239,1030.32,60,"N/A","N/A","N/A","Discharge","Hospital inpatient or observation discharge day management; 30-1440 minutes on the date of the encounter","N/A",1030.32,"N/A","2025-07-01","2026-06-30"]
[41,"San Mateo","Physician Assistant",99408,1030.32,23,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or substance (other than tobacco) abuse structural screening (eg, AUDIT ,DAST), and brief intervention (SBI) services. 15-30 minutes. ","N/A",394.96,"N/A","2025-07-01","2026-06-30"]
[41,"San Mateo","Physician Assistant",99424,1030.32,30,"N/A","N/A","N/A","Care Coordination","Principal care management services, for a single high-risk disease, first 30 minutes provided personally by a physician or other qualified health care professional, per calendar month. At least 30 minutes of service must be provided before 1 unit of this code can be reported.","N/A",515.16,"N/A","2025-07-01","2026-06-30"]
[41,"San Mateo","Physician Assistant","G0396",1030.32,23,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 15-30 Minutes","N/A",394.96,"N/A","2025-07-01","2026-06-30"]
[41,"San Mateo","Physician Assistant","H0034",1030.32,15,"N/A","N/A","N/A","Medication Services","Medication training and support, 15 minutes","N/A",257.58,"N/A","2025-07-01","2026-06-30"]
[41,"San Mateo","Physician Assistant","H2027",1030.32,15,"N/A","N/A","N/A","Treatment Planning","Psychoeducational Service, 15 minutes","N/A",257.58,"N/A","2025-07-01","2026-06-30"]
[41,"San Mateo","Physician Assistant","T2021",1030.32,15,"N/A","HQ","N/A","Family Therapy","Therapy substitute, 15 minutes","N/A",57.24,"N/A","2025-07-01","2026-06-30"]
[41,"San Mateo","Psychologist (Licensed or Waivered)",96171,923.89,15,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; each additional 15 minutes","N/A",230.97,"N/A","2025-07-01","2026-06-30"]
[41,"San Mateo","Psychologist (Licensed or Waivered)","G0323",923.89,60,"N/A","N/A","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",923.89,"N/A","2025-07-01","2026-06-30"]
[41,"San Mateo","Psychologist (Licensed or Waivered)","G0542",923.89,15,"N/A","N/A","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",230.97,"N/A","2025-07-01","2026-06-30"]
[41,"San Mateo","Psychologist (Licensed or Waivered)","T1013",923.89,"N/A","N/A","N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"N/A","2025-07-01","2026-06-30"]
[41,"San Mateo","Psychologist (Licensed or Waivered)","T2024",923.89,15,"N/A","N/A","N/A","Assessment","Assessment substitute, 15 minutes","N/A",230.97,"N/A","2025-07-01","2026-06-30"]
[41,"San Mateo","Registered Nurse",97552,933.12,45,"N/A","N/A","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",155.52000000000001,"N/A","2025-07-01","2026-06-30"]
[41,"San Mateo","Registered Nurse","H0003",933.12,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening. Laboratory analysis of specimens for presence of alcohol and/or drugs, 15 minutes","N/A",233.28,"N/A","2025-07-01","2026-06-30"]
[41,"San Mateo","Registered Nurse","H0049",933.12,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening, 15 minutes","N/A",233.28,"N/A","2025-07-01","2026-06-30"]
[41,"San Mateo","Registered Nurse","H2021",933.12,15,"N/A","N/A","N/A","Treatment Planning","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",233.28,"N/A","2025-07-01","2026-06-30"]
[41,"San Mateo","Registered Pharmacist",97550,1099.6500000000001,23,"N/A","N/A","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",421.53,"N/A","2025-07-01","2026-06-30"]
[41,"San Mateo","Registered Pharmacist","H0008",1099.6500000000001,15,"N/A","N/A","N/A","Recovery","Alcohol and/or drug services: (hospital inpatient) Subacute detoxification, 15 minutes","N/A",274.91000000000003,"N/A","2025-07-01","2026-06-30"]
[41,"San Mateo","Registered Pharmacist","H2017",1099.6500000000001,15,"N/A","N/A","N/A","Recovery","Psychosocial rehabilitation services, 15 Minutes","N/A",274.91000000000003,"N/A","2025-07-01","2026-06-30"]
[42,"Santa Barbara","Certified AOD Counselor","H0001",291.61,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug assessment, 15 minutes","N/A",72.900000000000006,"N/A","2025-07-01","2026-06-30"]
[42,"Santa Barbara","Certified AOD Counselor","T1013",291.61,"N/A","N/A","N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"N/A","2025-07-01","2026-06-30"]
[42,"Santa Barbara","LCSW (Licensed, Waivered or Registered)",90846,351.56,50,"N/A","N/A","N/A","Family Therapy","Family Psychotherapy (Without the Patient Present), 50 minutes","N/A",292.97000000000003,"N/A","2025-07-01","2026-06-30"]
[42,"Santa Barbara","LCSW (Licensed, Waivered or Registered)",97552,351.56,45,"N/A","N/A","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",58.59,"N/A","2025-07-01","2026-06-30"]
[42,"Santa Barbara","LCSW (Licensed, Waivered or Registered)","G0541",351.56,23,"N/A","N/A","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",134.76,"N/A","2025-07-01","2026-06-30"]
[42,"Santa Barbara","LCSW (Licensed, Waivered or Registered)","H1000",351.56,15,"N/A","N/A","N/A","Assessment","Prenatal Care, at risk assessment, 15 minutes ","N/A",87.89,"N/A","2025-07-01","2026-06-30"]
[42,"Santa Barbara","LCSW (Licensed, Waivered or Registered)","H2021",351.56,15,"N/A","N/A","N/A","Treatment Planning","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",87.89,"N/A","2025-07-01","2026-06-30"]
[42,"Santa Barbara","Licensed Physician",90865,1350.83,90,"N/A","N/A","N/A","Assessment","Nacrosynthesis for psychiatric diagnostic and therapeutic purposes (eg, sodium amobarbital (Amytal) interview), 90 minutes","N/A",2026.25,"N/A","2025-07-01","2026-06-30"]
[42,"Santa Barbara","Licensed Physician",96202,1350.83,60,"N/A","N/A","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",300.18,"N/A","2025-07-01","2026-06-30"]
[42,"Santa Barbara","Licensed Physician",97552,1350.83,45,"N/A","N/A","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",225.14,"N/A","2025-07-01","2026-06-30"]
[42,"Santa Barbara","Licensed Physician",99239,1350.83,60,"N/A","N/A","N/A","Discharge","Hospital inpatient or observation discharge day management; 30-1440 minutes on the date of the encounter","N/A",1350.83,"N/A","2025-07-01","2026-06-30"]
[42,"Santa Barbara","Licensed Physician",99408,1350.83,23,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or substance (other than tobacco) abuse structural screening (eg, AUDIT ,DAST), and brief intervention (SBI) services. 15-30 minutes. ","N/A",517.82000000000005,"N/A","2025-07-01","2026-06-30"]
[42,"Santa Barbara","Licensed Physician",99424,1350.83,30,"N/A","N/A","N/A","Care Coordination","Principal care management services, for a single high-risk disease, first 30 minutes provided personally by a physician or other qualified health care professional, per calendar month. At least 30 minutes of service must be provided before 1 unit of this code can be reported.","N/A",675.42,"N/A","2025-07-01","2026-06-30"]
[42,"Santa Barbara","Licensed Physician","G0316",1350.83,15,"N/A","N/A","N/A","Assessment","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",337.71,"N/A","2025-07-01","2026-06-30"]
[42,"Santa Barbara","Licensed Physician","H0034",1350.83,15,"N/A","HQ","N/A","Medication Services","Medication training and support, 15 minutes","N/A",75.05,"N/A","2025-07-01","2026-06-30"]
[42,"Santa Barbara","Licensed Physician","H2014",1350.83,15,"N/A","HQ","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",75.05,"N/A","2025-07-01","2026-06-30"]
[42,"Santa Barbara","Licensed Physician","T1017",1350.83,15,"N/A","N/A","N/A","Care Coordination","Targeted case management, 15 minutes","N/A",337.71,"N/A","2025-07-01","2026-06-30"]
[42,"Santa Barbara","Licensed Psychiatric Technician","G0397",247.1,60,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 31-1440 Minutes","N/A",247.1,"N/A","2025-07-01","2026-06-30"]
[42,"Santa Barbara","Licensed Psychiatric Technician","H0008",247.1,15,"N/A","N/A","N/A","Recovery","Alcohol and/or drug services: (hospital inpatient) Subacute detoxification, 15 minutes","N/A",61.78,"N/A","2025-07-01","2026-06-30"]
[42,"Santa Barbara","Licensed Psychiatric Technician","H0049",247.1,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening, 15 minutes","N/A",61.78,"N/A","2025-07-01","2026-06-30"]
[42,"Santa Barbara","Licensed Vocational Nurse",96160,288.24,15,"N/A","N/A","N/A","Care Coordination","Administration of patient-focused health risk assessment instrument (eg, health hazard appraisal) with scoring and documentation, per standardized instrument, 15 minutes","N/A",72.06,"N/A","2025-07-01","2026-06-30"]
[42,"Santa Barbara","Licensed Vocational Nurse","G0541",288.24,23,"N/A","N/A","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",110.49,"N/A","2025-07-01","2026-06-30"]
[42,"Santa Barbara","Licensed Vocational Nurse","H0003",288.24,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening. Laboratory analysis of specimens for presence of alcohol and/or drugs, 15 minutes","N/A",72.06,"N/A","2025-07-01","2026-06-30"]
[42,"Santa Barbara","Licensed Vocational Nurse","H1000",288.24,15,"N/A","N/A","N/A","Assessment","Prenatal Care, at risk assessment, 15 minutes ","N/A",72.06,"N/A","2025-07-01","2026-06-30"]
[42,"Santa Barbara","Medical Assistant",99368,198.14,60,"N/A","N/A","N/A","Care Coordination","Medical team conference with interdisciplinary team of health care professionals, patient and/or family not present, 30-1440 minutes; participation by nonphysician qualified health care professional","N/A",198.14,"N/A","2025-07-01","2026-06-30"]
[42,"Santa Barbara","Medical Assistant","H0048",198.14,15,"N/A","N/A","N/A","Assessment","Alcohol and/or other drug testing. Collection and handling only, specimens other than blood, 15 minutes","N/A",49.54,"N/A","2025-07-01","2026-06-30"]
[42,"Santa Barbara","MFT/LPCC (Licensed, Waivered or Registered)",90785,351.56,"N/A","N/A","N/A","N/A","Supplemental","Interactive complexity. There is no assigned time for this code. ","N/A",18.89,"N/A","2025-07-01","2026-06-30"]
[42,"Santa Barbara","MFT/LPCC (Licensed, Waivered or Registered)",98966,351.56,8,"N/A","N/A","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",46.87,"N/A","2025-07-01","2026-06-30"]
[42,"Santa Barbara","MFT/LPCC (Licensed, Waivered or Registered)","G0397",351.56,60,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 31-1440 Minutes","N/A",351.56,"N/A","2025-07-01","2026-06-30"]
[42,"Santa Barbara","MFT/LPCC (Licensed, Waivered or Registered)","H0007",351.56,15,"N/A","N/A","N/A","Crisis Intervention","Alcohol and/or drug services; crisis intervention (outpatient), 15 minutes","N/A",87.89,"N/A","2025-07-01","2026-06-30"]
[42,"Santa Barbara","MFT/LPCC (Licensed, Waivered or Registered)","T2021",351.56,15,"N/A","N/A","N/A","Family Therapy","Therapy substitute, 15 minutes","N/A",87.89,"N/A","2025-07-01","2026-06-30"]
[42,"Santa Barbara","Nurse Practitioner",90882,671.74,15,"N/A","N/A","N/A","Care Coordination","Environmental intervention for medical management purposes on a psychiatric patient's behalf with agencies, employers, or institutions, 15 minutes","N/A",167.94,"N/A","2025-07-01","2026-06-30"]
[42,"Santa Barbara","Nurse Practitioner",96202,671.74,60,"N/A","N/A","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",149.28,"N/A","2025-07-01","2026-06-30"]
[42,"Santa Barbara","Nurse Practitioner",99215,671.74,47,"N/A","N/A","N/A","Assessment","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. 40-54 minutes total time on the date of the encounter.","N/A",526.20000000000005,"N/A","2025-07-01","2026-06-30"]
[42,"Santa Barbara","Nurse Practitioner",99308,671.74,25,"N/A","N/A","N/A","Assessment","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. 20-29 minutes total time on the date of the encounter.","N/A",279.89,"N/A","2025-07-01","2026-06-30"]
[42,"Santa Barbara","Nurse Practitioner",99345,671.74,82,"N/A","N/A","N/A","Assessment","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. 75-89 minutes total time on the date of the encounter.","N/A",918.04,"N/A","2025-07-01","2026-06-30"]
[42,"Santa Barbara","Nurse Practitioner",99443,671.74,26,"N/A","N/A","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",291.08999999999997,"N/A","2025-07-01","2026-06-30"]
[42,"Santa Barbara","Nurse Practitioner","G0542",671.74,15,"N/A","N/A","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",167.94,"N/A","2025-07-01","2026-06-30"]
[42,"Santa Barbara","Nurse Practitioner","H0034",671.74,15,"N/A","HQ","N/A","Medication Services","Medication training and support, 15 minutes","N/A",37.32,"N/A","2025-07-01","2026-06-30"]
[42,"Santa Barbara","Nurse Practitioner","T1017",671.74,15,"N/A","N/A","N/A","Care Coordination","Targeted case management, 15 minutes","N/A",167.94,"N/A","2025-07-01","2026-06-30"]
[42,"Santa Barbara","Occupational Therapist",90882,467.98,15,"N/A","N/A","N/A","Care Coordination","Environmental intervention for medical management purposes on a psychiatric patient's behalf with agencies, employers, or institutions, 15 minutes","N/A",117,"N/A","2025-07-01","2026-06-30"]
[42,"Santa Barbara","Occupational Therapist",96202,467.98,60,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[42,"Santa Barbara","Occupational Therapist","H2021",467.98,15,"N/A","N/A","N/A","Treatment Planning","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",117,"N/A","2025-07-01","2026-06-30"]
[42,"Santa Barbara","Other Qualified Practitioner","H0001",264.5,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug assessment, 15 minutes","N/A",66.13,"N/A","2025-07-01","2026-06-30"]
[42,"Santa Barbara","Other Qualified Practitioner","H2015",264.5,15,"N/A","N/A","N/A","Recovery","Comprehensive community support services, 15 minutes","N/A",66.13,"N/A","2025-07-01","2026-06-30"]
[42,"Santa Barbara","Physician Assistant",90849,605.84,84,"N/A","N/A","N/A","Family Therapy","Multiple-family group psychotherapy, 84 minutes","N/A",188.48,"N/A","2025-07-01","2026-06-30"]
[42,"Santa Barbara","Physician Assistant",96130,605.84,60,"N/A","N/A","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",605.84,"N/A","2025-07-01","2026-06-30"]
[42,"Santa Barbara","Physician Assistant",98966,605.84,8,"N/A","N/A","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",80.78,"N/A","2025-07-01","2026-06-30"]
[42,"Santa Barbara","Physician Assistant",99305,605.84,42,"N/A","N/A","N/A","Assessment","\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. 35-49 minutes total time on the date of the encounter.","N/A",424.09,"N/A","2025-07-01","2026-06-30"]
[42,"Santa Barbara","Physician Assistant",99306,605.84,57,"N/A","N/A","N/A","Assessment","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. 50-64 minutes total time on the date of the encounter.","N/A",575.54999999999995,"N/A","2025-07-01","2026-06-30"]
[42,"Santa Barbara","Physician Assistant",99415,605.84,60,"N/A","N/A","N/A","Assessment","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",605.84,"N/A","2025-07-01","2026-06-30"]
[42,"Santa Barbara","Physician Assistant","G0540",605.84,15,"N/A","N/A","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",151.46,"N/A","2025-07-01","2026-06-30"]
[42,"Santa Barbara","Physician Assistant","H0008",605.84,15,"N/A","N/A","N/A","Recovery","Alcohol and/or drug services: (hospital inpatient) Subacute detoxification, 15 minutes","N/A",151.46,"N/A","2025-07-01","2026-06-30"]
[42,"Santa Barbara","Physician Assistant","H0049",605.84,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening, 15 minutes","N/A",151.46,"N/A","2025-07-01","2026-06-30"]
[42,"Santa Barbara","Physician Assistant","T2021",605.84,15,"N/A",22,"N/A","Family Therapy","Therapy substitute, 15 minutes","N/A",154.47,"N/A","2025-07-01","2026-06-30"]
[42,"Santa Barbara","Psychologist (Licensed or Waivered)",90882,543.26,15,"N/A","N/A","N/A","Care Coordination","Environmental intervention for medical management purposes on a psychiatric patient's behalf with agencies, employers, or institutions, 15 minutes","N/A",135.82,"N/A","2025-07-01","2026-06-30"]
[42,"Santa Barbara","Psychologist (Licensed or Waivered)",96203,543.26,15,"N/A","N/A","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",30.18,"N/A","2025-07-01","2026-06-30"]
[42,"Santa Barbara","Psychologist (Licensed or Waivered)","G0397",543.26,60,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 31-1440 Minutes","N/A",543.26,"N/A","2025-07-01","2026-06-30"]
[42,"Santa Barbara","Psychologist (Licensed or Waivered)","H2027",543.26,15,"N/A","N/A","N/A","Treatment Planning","Psychoeducational Service, 15 minutes","N/A",135.82,"N/A","2025-07-01","2026-06-30"]
[42,"Santa Barbara","Psychologist (Licensed or Waivered)","T2021",543.26,15,"N/A","HQ","N/A","Family Therapy","Therapy substitute, 15 minutes","N/A",30.18,"N/A","2025-07-01","2026-06-30"]
[42,"Santa Barbara","Registered Nurse",99368,548.69000000000005,60,"N/A","N/A","N/A","Care Coordination","Medical team conference with interdisciplinary team of health care professionals, patient and/or family not present, 30-1440 minutes; participation by nonphysician qualified health care professional","N/A",548.69000000000005,"N/A","2025-07-01","2026-06-30"]
[42,"Santa Barbara","Registered Nurse","G0542",548.69000000000005,15,"N/A","N/A","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",137.16999999999999,"N/A","2025-07-01","2026-06-30"]
[42,"Santa Barbara","Registered Nurse","H0005",548.69000000000005,15,"N/A","N/A","N/A","Group Counseling","Alcohol and/or drug services; group counseling by a clinician, 15 minutes ","N/A",30.48,"N/A","2025-07-01","2026-06-30"]
[42,"Santa Barbara","Registered Nurse","H1000",548.69000000000005,15,"N/A","N/A","N/A","Assessment","Prenatal Care, at risk assessment, 15 minutes ","N/A",137.16999999999999,"N/A","2025-07-01","2026-06-30"]
[42,"Santa Barbara","Registered Pharmacist",99368,646.61,60,"N/A","N/A","N/A","Care Coordination","Medical team conference with interdisciplinary team of health care professionals, patient and/or family not present, 30-1440 minutes; participation by nonphysician qualified health care professional","N/A",646.61,"N/A","2025-07-01","2026-06-30"]
[42,"Santa Barbara","Registered Pharmacist","H0003",646.61,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening. Laboratory analysis of specimens for presence of alcohol and/or drugs, 15 minutes","N/A",161.65,"N/A","2025-07-01","2026-06-30"]
[42,"Santa Barbara","Registered Pharmacist","H0034",646.61,15,"N/A","HQ","N/A","Medication Services","Medication training and support, 15 minutes","N/A",35.92,"N/A","2025-07-01","2026-06-30"]
[43,"Santa Clara","Certified AOD Counselor","H0007",473.2,15,"N/A","N/A","N/A","Crisis Intervention","Alcohol and/or drug services; crisis intervention (outpatient), 15 minutes","N/A",118.3,"N/A","2025-07-01","2026-06-30"]
[43,"Santa Clara","Certified AOD Counselor","H2027",473.2,15,"N/A","N/A","N/A","Treatment Planning","Psychoeducational Service, 15 minutes","N/A",118.3,"N/A","2025-07-01","2026-06-30"]
[43,"Santa Clara","Certified AOD Counselor","T2024",473.2,15,"N/A","N/A","N/A","Assessment","Assessment substitute, 15 minutes","N/A",118.3,"N/A","2025-07-01","2026-06-30"]
[43,"Santa Clara","LCSW (Licensed, Waivered or Registered)",96171,570.48,15,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; each additional 15 minutes","N/A",142.62,"N/A","2025-07-01","2026-06-30"]
[43,"Santa Clara","LCSW (Licensed, Waivered or Registered)","G0323",570.48,60,"N/A","N/A","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",570.48,"N/A","2025-07-01","2026-06-30"]
[43,"Santa Clara","LCSW (Licensed, Waivered or Registered)","G0542",570.48,15,"N/A","N/A","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",142.62,"N/A","2025-07-01","2026-06-30"]
[43,"Santa Clara","LCSW (Licensed, Waivered or Registered)","H2014",570.48,15,"N/A","N/A","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",142.62,"N/A","2025-07-01","2026-06-30"]
[43,"Santa Clara","Licensed Physician",90792,2192.02,60,"N/A","N/A","N/A","Assessment","Psychiatric diagnostic evaluation with medical services, 60 minutes","N/A",2192.02,"N/A","2025-07-01","2026-06-30"]
[43,"Santa Clara","Licensed Physician",90885,2192.02,60,"N/A","N/A","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",2192.02,"N/A","2025-07-01","2026-06-30"]
[43,"Santa Clara","Licensed Physician",97550,2192.02,23,"N/A","N/A","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",840.27,"N/A","2025-07-01","2026-06-30"]
[43,"Santa Clara","Licensed Physician",99305,2192.02,42,"N/A","N/A","N/A","Assessment","\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. 35-49 minutes total time on the date of the encounter.","N/A",1534.41,"N/A","2025-07-01","2026-06-30"]
[43,"Santa Clara","Licensed Physician",99349,2192.02,50,"N/A","N/A","N/A","Assessment","\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. 40-59 minutes total time on the date of the encounter.","N/A",1826.68,"N/A","2025-07-01","2026-06-30"]
[43,"Santa Clara","Licensed Physician",99415,2192.02,60,"N/A","N/A","N/A","Assessment","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",2192.02,"N/A","2025-07-01","2026-06-30"]
[43,"Santa Clara","Licensed Physician","G0539",2192.02,23,"N/A","N/A","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",840.27,"N/A","2025-07-01","2026-06-30"]
[43,"Santa Clara","Licensed Physician","H0007",2192.02,15,"N/A","N/A","N/A","Crisis Intervention","Alcohol and/or drug services; crisis intervention (outpatient), 15 minutes","N/A",548.01,"N/A","2025-07-01","2026-06-30"]
[43,"Santa Clara","Licensed Physician","H0048",2192.02,15,"N/A","N/A","N/A","Assessment","Alcohol and/or other drug testing. Collection and handling only, specimens other than blood, 15 minutes","N/A",548.01,"N/A","2025-07-01","2026-06-30"]
[43,"Santa Clara","Licensed Physician","T2024",2192.02,15,"N/A","N/A","N/A","Assessment","Assessment substitute, 15 minutes","N/A",548.01,"N/A","2025-07-01","2026-06-30"]
[43,"Santa Clara","Licensed Psychiatric Technician",97550,400.98,23,"N/A","N/A","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",153.71,"N/A","2025-07-01","2026-06-30"]
[43,"Santa Clara","Licensed Psychiatric Technician","G0540",400.98,15,"N/A","N/A","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",100.25,"N/A","2025-07-01","2026-06-30"]
[43,"Santa Clara","Licensed Psychiatric Technician","H0033",400.98,15,"N/A","N/A","N/A","Medication Services","Medication administration, direct observation, 15 minutes","N/A",100.25,"N/A","2025-07-01","2026-06-30"]
[43,"Santa Clara","Licensed Psychiatric Technician","T1017",400.98,15,"N/A","N/A","N/A","Care Coordination","Targeted case management, 15 minutes","N/A",100.25,"N/A","2025-07-01","2026-06-30"]
[43,"Santa Clara","Licensed Vocational Nurse",96171,467.73,15,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; each additional 15 minutes","N/A",116.93,"N/A","2025-07-01","2026-06-30"]
[43,"Santa Clara","Licensed Vocational Nurse","G2011",467.73,10,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 5-14 Minutes","N/A",77.959999999999994,"N/A","2025-07-01","2026-06-30"]
[43,"Santa Clara","Licensed Vocational Nurse","H2015",467.73,15,"N/A","N/A","N/A","Recovery","Comprehensive community support services, 15 minutes","N/A",116.93,"N/A","2025-07-01","2026-06-30"]
[43,"Santa Clara","Licensed Vocational Nurse","T1007",467.73,15,"N/A","N/A","N/A","Treatment Planning","Alcohol and/or substance abuse services, treatment plan development and/or modification, 15 minutes","N/A",116.93,"N/A","2025-07-01","2026-06-30"]
[43,"Santa Clara","Medical Assistant","H0003",321.52999999999997,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening. Laboratory analysis of specimens for presence of alcohol and/or drugs, 15 minutes","N/A",80.38,"N/A","2025-07-01","2026-06-30"]
[43,"Santa Clara","MFT/LPCC (Licensed, Waivered or Registered)",90846,570.48,50,"N/A","N/A","N/A","Family Therapy","Family Psychotherapy (Without the Patient Present), 50 minutes","N/A",475.4,"N/A","2025-07-01","2026-06-30"]
[43,"Santa Clara","MFT/LPCC (Licensed, Waivered or Registered)",96202,570.48,60,"N/A","N/A","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",126.77,"N/A","2025-07-01","2026-06-30"]
[43,"Santa Clara","MFT/LPCC (Licensed, Waivered or Registered)","G0397",570.48,60,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 31-1440 Minutes","N/A",570.48,"N/A","2025-07-01","2026-06-30"]
[43,"Santa Clara","MFT/LPCC (Licensed, Waivered or Registered)","H1000",570.48,15,"N/A","N/A","N/A","Assessment","Prenatal Care, at risk assessment, 15 minutes ","N/A",142.62,"N/A","2025-07-01","2026-06-30"]
[43,"Santa Clara","MFT/LPCC (Licensed, Waivered or Registered)","T1007",570.48,15,"N/A","N/A","N/A","Treatment Planning","Alcohol and/or substance abuse services, treatment plan development and/or modification, 15 minutes","N/A",142.62,"N/A","2025-07-01","2026-06-30"]
[43,"Santa Clara","MFT/LPCC (Licensed, Waivered or Registered)","T2024",570.48,15,"N/A","N/A","N/A","Assessment","Assessment substitute, 15 minutes","N/A",142.62,"N/A","2025-07-01","2026-06-30"]
[43,"Santa Clara","Nurse Practitioner",90887,1090.03,50,"N/A","N/A","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",908.36,"N/A","2025-07-01","2026-06-30"]
[43,"Santa Clara","Nurse Practitioner",99215,1090.03,47,"N/A","N/A","N/A","Assessment","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. 40-54 minutes total time on the date of the encounter.","N/A",853.86,"N/A","2025-07-01","2026-06-30"]
[43,"Santa Clara","Nurse Practitioner",99235,1090.03,77,"N/A","N/A","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. 70-84 minutes total time on the date of the encounter.","N/A",1398.87,"N/A","2025-07-01","2026-06-30"]
[43,"Santa Clara","Nurse Practitioner",99310,1090.03,52,"N/A","N/A","N/A","Assessment","\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. 45-59 minutes total time on the date of the encounter.","N/A",944.69,"N/A","2025-07-01","2026-06-30"]
[43,"Santa Clara","Nurse Practitioner",99425,1090.03,30,"N/A","N/A","N/A","Care Coordination","Principal care management services, for a single high-risk disease, each additional 30 minutes provided personally by a physician or other qualified health care professional, per calendar month. Code 99425 is reported in conjunction with 99424, when at least an additional 30 minutes of service time is provided beyond 99424.","N/A",545.02,"N/A","2025-07-01","2026-06-30"]
[43,"Santa Clara","Nurse Practitioner",99495,1090.03,54,"N/A","N/A","N/A","Discharge","Transitional Care Management Services with the following required elements: Communication (direct contact, telephone, electronic) with the patient and/or caregiver within 2 business days of discharge. Medical decision making of at least moderate complexity during the service period, face-to-face visit within 14 calendar days of discharge, 54 minutes","N/A",981.03,"N/A","2025-07-01","2026-06-30"]
[43,"Santa Clara","Nurse Practitioner","G2011",1090.03,10,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 5-14 Minutes","N/A",181.67,"N/A","2025-07-01","2026-06-30"]
[43,"Santa Clara","Nurse Practitioner","H0049",1090.03,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening, 15 minutes","N/A",272.51,"N/A","2025-07-01","2026-06-30"]
[43,"Santa Clara","Nurse Practitioner","T2021",1090.03,15,"N/A","N/A","N/A","Family Therapy","Therapy substitute, 15 minutes","N/A",272.51,"N/A","2025-07-01","2026-06-30"]
[43,"Santa Clara","Occupational Therapist",90889,759.4,15,"N/A","N/A","N/A","Care Coordination","Preparation of report of patient's psychiatric status, history, treatment, or progress (other than for legal or consultative purposes) for other individuals, agencies, or insurance carriers, 15 minutes","N/A",189.85,"N/A","2025-07-01","2026-06-30"]
[43,"Santa Clara","Occupational Therapist","H0007",759.4,15,"N/A","N/A","N/A","Crisis Intervention","Alcohol and/or drug services; crisis intervention (outpatient), 15 minutes","N/A",189.85,"N/A","2025-07-01","2026-06-30"]
[43,"Santa Clara","Occupational Therapist","T1007",759.4,15,"N/A","N/A","N/A","Treatment Planning","Alcohol and/or substance abuse services, treatment plan development and/or modification, 15 minutes","N/A",189.85,"N/A","2025-07-01","2026-06-30"]
[43,"Santa Clara","Other Qualified Practitioner","G0396",429.2,23,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 15-30 Minutes","N/A",164.53,"N/A","2025-07-01","2026-06-30"]
[43,"Santa Clara","Peer Support Specialists","H0025",450.66,15,"N/A","N/A","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",25.04,"N/A","2025-07-01","2026-06-30"]
[43,"Santa Clara","Physician Assistant",90882,983.11,15,"N/A","N/A","N/A","Care Coordination","Environmental intervention for medical management purposes on a psychiatric patient's behalf with agencies, employers, or institutions, 15 minutes","N/A",245.78,"N/A","2025-07-01","2026-06-30"]
[43,"Santa Clara","Physician Assistant",96160,983.11,15,"N/A","N/A","N/A","Care Coordination","Administration of patient-focused health risk assessment instrument (eg, health hazard appraisal) with scoring and documentation, per standardized instrument, 15 minutes","N/A",245.78,"N/A","2025-07-01","2026-06-30"]
[43,"Santa Clara","Physician Assistant",99236,983.11,92,"N/A","N/A","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. 85-99 minutes total time on the date of the encounter.","N/A",1507.44,"N/A","2025-07-01","2026-06-30"]
[43,"Santa Clara","Physician Assistant",99307,983.11,15,"N/A","N/A","N/A","Assessment","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. 10-19 minutes total time on the date of the encounter for code selection.","N/A",245.78,"N/A","2025-07-01","2026-06-30"]
[43,"Santa Clara","Physician Assistant",99409,983.11,60,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or substance (other than tobacco) abuse structural screening (eg, AUDIT ,DAST), and brief intervention (SBI) services. 31-1440 minutes. ","N/A",983.11,"N/A","2025-07-01","2026-06-30"]
[43,"Santa Clara","Physician Assistant","G0316",983.11,15,"N/A","N/A","N/A","Assessment","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",245.78,"N/A","2025-07-01","2026-06-30"]
[43,"Santa Clara","Physician Assistant","G0542",983.11,15,"N/A","N/A","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",245.78,"N/A","2025-07-01","2026-06-30"]
[43,"Santa Clara","Physician Assistant","H0033",983.11,15,"N/A","N/A","N/A","Medication Services","Medication administration, direct observation, 15 minutes","N/A",245.78,"N/A","2025-07-01","2026-06-30"]
[43,"Santa Clara","Physician Assistant","T1013",983.11,"N/A","N/A","N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"N/A","2025-07-01","2026-06-30"]
[43,"Santa Clara","Psychologist (Licensed or Waivered)",90785,881.56,"N/A","N/A","N/A","N/A","Supplemental","Interactive complexity. There is no assigned time for this code. ","N/A",18.89,"N/A","2025-07-01","2026-06-30"]
[43,"Santa Clara","Psychologist (Licensed or Waivered)",90889,881.56,15,"N/A","N/A","N/A","Care Coordination","Preparation of report of patient's psychiatric status, history, treatment, or progress (other than for legal or consultative purposes) for other individuals, agencies, or insurance carriers, 15 minutes","N/A",220.39,"N/A","2025-07-01","2026-06-30"]
[43,"Santa Clara","Psychologist (Licensed or Waivered)","G0541",881.56,23,"N/A","N/A","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",337.93,"N/A","2025-07-01","2026-06-30"]
[43,"Santa Clara","Psychologist (Licensed or Waivered)","H0004",881.56,15,"N/A","N/A","N/A","Individual Counseling","Behavioral health counseling and therapy, 15 minutes","N/A",220.39,"N/A","2025-07-01","2026-06-30"]
[43,"Santa Clara","Psychologist (Licensed or Waivered)","T1006",881.56,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or substance abuse services, family/couple counseling, 15 minutes","N/A",220.39,"N/A","2025-07-01","2026-06-30"]
[43,"Santa Clara","Registered Nurse",97550,890.37,23,"N/A","N/A","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",341.31,"N/A","2025-07-01","2026-06-30"]
[43,"Santa Clara","Registered Nurse","G0396",890.37,23,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 15-30 Minutes","N/A",341.31,"N/A","2025-07-01","2026-06-30"]
[43,"Santa Clara","Registered Nurse","G0543",890.37,45,"N/A","N/A","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",148.4,"N/A","2025-07-01","2026-06-30"]
[43,"Santa Clara","Registered Nurse","H2015",890.37,15,"N/A","N/A","N/A","Recovery","Comprehensive community support services, 15 minutes","N/A",222.59,"N/A","2025-07-01","2026-06-30"]
[43,"Santa Clara","Registered Pharmacist",96203,1049.26,15,"N/A","N/A","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",58.29,"N/A","2025-07-01","2026-06-30"]
[43,"Santa Clara","Registered Pharmacist","G0397",1049.26,60,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 31-1440 Minutes","N/A",1049.26,"N/A","2025-07-01","2026-06-30"]
[43,"Santa Clara","Registered Pharmacist","H0009",1049.26,15,"N/A","N/A","N/A","Recovery","Alcohol and/or drug services:  (hospital inpatient) Acute detoxification, 15 minutes","N/A",262.32,"N/A","2025-07-01","2026-06-30"]
[44,"Santa Cruz","Certified AOD Counselor","G0397",345.01,60,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 31-1440 Minutes","N/A",345.01,"N/A","2025-07-01","2026-06-30"]
[44,"Santa Cruz","Certified AOD Counselor","H1000",345.01,15,"N/A","N/A","N/A","Assessment","Prenatal Care, at risk assessment, 15 minutes ","N/A",86.25,"N/A","2025-07-01","2026-06-30"]
[44,"Santa Cruz","Certified AOD Counselor","T1006",345.01,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or substance abuse services, family/couple counseling, 15 minutes","N/A",86.25,"N/A","2025-07-01","2026-06-30"]
[44,"Santa Cruz","LCSW (Licensed, Waivered or Registered)",90887,415.94,50,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[44,"Santa Cruz","LCSW (Licensed, Waivered or Registered)",96203,415.94,15,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[44,"Santa Cruz","LCSW (Licensed, Waivered or Registered)","G0397",415.94,60,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 31-1440 Minutes","N/A",415.94,"N/A","2025-07-01","2026-06-30"]
[44,"Santa Cruz","LCSW (Licensed, Waivered or Registered)","H2021",415.94,15,"N/A","N/A","N/A","Treatment Planning","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",103.99,"N/A","2025-07-01","2026-06-30"]
[44,"Santa Cruz","LCSW (Licensed, Waivered or Registered)","T2021",415.94,15,"N/A",22,"N/A","Family Therapy","Therapy substitute, 15 minutes","N/A",107,"N/A","2025-07-01","2026-06-30"]
[44,"Santa Cruz","Licensed Physician",90847,1598.21,50,"N/A","N/A","N/A","Family Therapy","Family Psychotherapy (Conjoint psychotheraphy with Patient Present), 50 minutes","N/A",1331.84,"N/A","2025-07-01","2026-06-30"]
[44,"Santa Cruz","Licensed Physician",99202,1598.21,22,"N/A","N/A","N/A","Assessment","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. 15-29 minutes total time on the date of the encounter.","N/A",586.01,"N/A","2025-07-01","2026-06-30"]
[44,"Santa Cruz","Licensed Physician",99236,1598.21,92,"N/A","N/A","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. 85-99 minutes total time on the date of the encounter.","N/A",2450.59,"N/A","2025-07-01","2026-06-30"]
[44,"Santa Cruz","Licensed Physician",99307,1598.21,15,"N/A","N/A","N/A","Assessment","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. 10-19 minutes total time on the date of the encounter for code selection.","N/A",399.55,"N/A","2025-07-01","2026-06-30"]
[44,"Santa Cruz","Licensed Physician",99408,1598.21,23,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or substance (other than tobacco) abuse structural screening (eg, AUDIT ,DAST), and brief intervention (SBI) services. 15-30 minutes. ","N/A",612.65,"N/A","2025-07-01","2026-06-30"]
[44,"Santa Cruz","Licensed Physician",99496,1598.21,75,"N/A","N/A","N/A","Discharge","Transitional Care Management Services with the following required elements: Communication (direct contact, telephone, electronic) with the patient and/or caregiver within 2 business days of discharge. Medical decision making of high complexity during the service period, face-to-face visit within 7 calendar days of discharge, 75 minutes","N/A",1997.76,"N/A","2025-07-01","2026-06-30"]
[44,"Santa Cruz","Licensed Physician","G0541",1598.21,23,"N/A","N/A","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",612.65,"N/A","2025-07-01","2026-06-30"]
[44,"Santa Cruz","Licensed Physician","H0009",1598.21,15,"N/A","N/A","N/A","Recovery","Alcohol and/or drug services:  (hospital inpatient) Acute detoxification, 15 minutes","N/A",399.55,"N/A","2025-07-01","2026-06-30"]
[44,"Santa Cruz","Licensed Physician","T1007",1598.21,15,"N/A","N/A","N/A","Treatment Planning","Alcohol and/or substance abuse services, treatment plan development and/or modification, 15 minutes","N/A",399.55,"N/A","2025-07-01","2026-06-30"]
[44,"Santa Cruz","Licensed Physician","T2024",1598.21,15,"N/A","N/A","N/A","Assessment","Assessment substitute, 15 minutes","N/A",399.55,"N/A","2025-07-01","2026-06-30"]
[44,"Santa Cruz","Licensed Psychiatric Technician","G0540",292.36,15,"N/A","N/A","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",73.09,"N/A","2025-07-01","2026-06-30"]
[44,"Santa Cruz","Licensed Psychiatric Technician","H0048",292.36,15,"N/A","N/A","N/A","Assessment","Alcohol and/or other drug testing. Collection and handling only, specimens other than blood, 15 minutes","N/A",73.09,"N/A","2025-07-01","2026-06-30"]
[44,"Santa Cruz","Licensed Psychiatric Technician","H2027",292.36,15,"N/A","N/A","N/A","Treatment Planning","Psychoeducational Service, 15 minutes","N/A",73.09,"N/A","2025-07-01","2026-06-30"]
[44,"Santa Cruz","Licensed Vocational Nurse",90882,341.03,15,"N/A","N/A","N/A","Care Coordination","Environmental intervention for medical management purposes on a psychiatric patient's behalf with agencies, employers, or institutions, 15 minutes","N/A",85.26,"N/A","2025-07-01","2026-06-30"]
[44,"Santa Cruz","Licensed Vocational Nurse","G2011",341.03,10,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 5-14 Minutes","N/A",56.84,"N/A","2025-07-01","2026-06-30"]
[44,"Santa Cruz","Licensed Vocational Nurse","H0007",341.03,15,"N/A","N/A","N/A","Crisis Intervention","Alcohol and/or drug services; crisis intervention (outpatient), 15 minutes","N/A",85.26,"N/A","2025-07-01","2026-06-30"]
[44,"Santa Cruz","Licensed Vocational Nurse","H2017",341.03,15,"N/A","N/A","N/A","Recovery","Psychosocial rehabilitation services, 15 Minutes","N/A",85.26,"N/A","2025-07-01","2026-06-30"]
[44,"Santa Cruz","Medical Assistant","H0034",234.43,15,"N/A","N/A","N/A","Medication Services","Medication training and support, 15 minutes","N/A",58.61,"N/A","2025-07-01","2026-06-30"]
[44,"Santa Cruz","Medical Assistant","T1017",234.43,15,"N/A","N/A","N/A","Care Coordination","Targeted case management, 15 minutes","N/A",58.61,"N/A","2025-07-01","2026-06-30"]
[44,"Santa Cruz","MFT/LPCC (Licensed, Waivered or Registered)",90849,415.94,84,"N/A","N/A","N/A","Family Therapy","Multiple-family group psychotherapy, 84 minutes","N/A",129.4,"N/A","2025-07-01","2026-06-30"]
[44,"Santa Cruz","MFT/LPCC (Licensed, Waivered or Registered)",97550,415.94,23,"N/A","N/A","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",159.44,"N/A","2025-07-01","2026-06-30"]
[44,"Santa Cruz","MFT/LPCC (Licensed, Waivered or Registered)","G0541",415.94,23,"N/A","N/A","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",159.44,"N/A","2025-07-01","2026-06-30"]
[44,"Santa Cruz","MFT/LPCC (Licensed, Waivered or Registered)","H2014",415.94,15,"N/A","N/A","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",103.99,"N/A","2025-07-01","2026-06-30"]
[44,"Santa Cruz","MFT/LPCC (Licensed, Waivered or Registered)","T1017",415.94,15,"N/A","N/A","N/A","Care Coordination","Targeted case management, 15 minutes","N/A",103.99,"N/A","2025-07-01","2026-06-30"]
[44,"Santa Cruz","Nurse Practitioner",96131,794.75,60,"N/A","N/A","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",794.75,"N/A","2025-07-01","2026-06-30"]
[44,"Santa Cruz","Nurse Practitioner",98967,794.75,16,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[44,"Santa Cruz","Nurse Practitioner",99212,794.75,15,"N/A","N/A","N/A","Assessment","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. 10-19 minutes total time on the date of the encounter.","N/A",198.69,"N/A","2025-07-01","2026-06-30"]
[44,"Santa Cruz","Nurse Practitioner",99309,794.75,37,"N/A","N/A","N/A","Assessment","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. 30-44 minutes total time on the date of the encounter.\t","N/A",490.1,"N/A","2025-07-01","2026-06-30"]
[44,"Santa Cruz","Nurse Practitioner",99416,794.75,30,"N/A","N/A","N/A","Assessment","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,"N/A","2025-07-01","2026-06-30"]
[44,"Santa Cruz","Nurse Practitioner",99441,794.75,8,"N/A","N/A","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",105.97,"N/A","2025-07-01","2026-06-30"]
[44,"Santa Cruz","Nurse Practitioner","H0004",794.75,15,"N/A","N/A","N/A","Individual Counseling","Behavioral health counseling and therapy, 15 minutes","N/A",198.69,"N/A","2025-07-01","2026-06-30"]
[44,"Santa Cruz","Nurse Practitioner","H0050",794.75,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or Drug Services, brief intervention, 15 minutes","N/A",198.69,"N/A","2025-07-01","2026-06-30"]
[44,"Santa Cruz","Nurse Practitioner","T2021",794.75,15,"N/A","HQ","N/A","Family Therapy","Therapy substitute, 15 minutes","N/A",44.15,"N/A","2025-07-01","2026-06-30"]
[44,"Santa Cruz","Nurse Practitioner","T2024",794.75,15,"N/A","N/A","N/A","Assessment","Assessment substitute, 15 minutes","N/A",198.69,"N/A","2025-07-01","2026-06-30"]
[44,"Santa Cruz","Occupational Therapist","G0543",553.67999999999995,45,"N/A","N/A","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",92.28,"N/A","2025-07-01","2026-06-30"]
[44,"Santa Cruz","Occupational Therapist","H0050",553.67999999999995,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or Drug Services, brief intervention, 15 minutes","N/A",138.41999999999999,"N/A","2025-07-01","2026-06-30"]
[44,"Santa Cruz","Occupational Therapist","T1017",553.67999999999995,15,"N/A","N/A","N/A","Care Coordination","Targeted case management, 15 minutes","N/A",138.41999999999999,"N/A","2025-07-01","2026-06-30"]
[44,"Santa Cruz","Other Qualified Practitioner","H2027",312.94,15,"N/A","N/A","N/A","Treatment Planning","Psychoeducational Service, 15 minutes","N/A",78.239999999999995,"N/A","2025-07-01","2026-06-30"]
[44,"Santa Cruz","Physician Assistant",90885,716.79,60,"N/A","N/A","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",716.79,"N/A","2025-07-01","2026-06-30"]
[44,"Santa Cruz","Physician Assistant",90887,716.79,50,"N/A","N/A","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",597.33000000000004,"N/A","2025-07-01","2026-06-30"]
[44,"Santa Cruz","Physician Assistant",99204,716.79,52,"N/A","N/A","N/A","Assessment","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. 45-59 minutes total time on the date of the encounter.","N/A",621.22,"N/A","2025-07-01","2026-06-30"]
[44,"Santa Cruz","Physician Assistant",99239,716.79,60,"N/A","N/A","N/A","Discharge","Hospital inpatient or observation discharge day management; 30-1440 minutes on the date of the encounter","N/A",716.79,"N/A","2025-07-01","2026-06-30"]
[44,"Santa Cruz","Physician Assistant",99309,716.79,37,"N/A","N/A","N/A","Assessment","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. 30-44 minutes total time on the date of the encounter.\t","N/A",442.02,"N/A","2025-07-01","2026-06-30"]
[44,"Santa Cruz","Physician Assistant",99424,716.79,30,"N/A","N/A","N/A","Care Coordination","Principal care management services, for a single high-risk disease, first 30 minutes provided personally by a physician or other qualified health care professional, per calendar month. At least 30 minutes of service must be provided before 1 unit of this code can be reported.","N/A",358.4,"N/A","2025-07-01","2026-06-30"]
[44,"Santa Cruz","Physician Assistant","G0396",716.79,23,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 15-30 Minutes","N/A",274.77,"N/A","2025-07-01","2026-06-30"]
[44,"Santa Cruz","Physician Assistant","G2011",716.79,10,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 5-14 Minutes","N/A",119.47,"N/A","2025-07-01","2026-06-30"]
[44,"Santa Cruz","Physician Assistant","H2027",716.79,15,"N/A","N/A","N/A","Treatment Planning","Psychoeducational Service, 15 minutes","N/A",179.2,"N/A","2025-07-01","2026-06-30"]
[44,"Santa Cruz","Physician Assistant","T2021",716.79,15,"N/A","HQ","N/A","Family Therapy","Therapy substitute, 15 minutes","N/A",39.82,"N/A","2025-07-01","2026-06-30"]
[44,"Santa Cruz","Psychologist (Licensed or Waivered)",90846,642.75,50,"N/A","N/A","N/A","Family Therapy","Family Psychotherapy (Without the Patient Present), 50 minutes","N/A",535.63,"N/A","2025-07-01","2026-06-30"]
[44,"Santa Cruz","Psychologist (Licensed or Waivered)","G0323",642.75,60,"N/A","N/A","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",642.75,"N/A","2025-07-01","2026-06-30"]
[44,"Santa Cruz","Psychologist (Licensed or Waivered)","G2011",642.75,10,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 5-14 Minutes","N/A",107.13,"N/A","2025-07-01","2026-06-30"]
[44,"Santa Cruz","Psychologist (Licensed or Waivered)","H0007",642.75,15,"N/A","N/A","N/A","Crisis Intervention","Alcohol and/or drug services; crisis intervention (outpatient), 15 minutes","N/A",160.69,"N/A","2025-07-01","2026-06-30"]
[44,"Santa Cruz","Registered Nurse",96170,649.16999999999996,30,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; initial 30 minutes","N/A",324.58999999999997,"N/A","2025-07-01","2026-06-30"]
[44,"Santa Cruz","Registered Nurse",97552,649.16999999999996,45,"N/A","N/A","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",108.2,"N/A","2025-07-01","2026-06-30"]
[44,"Santa Cruz","Registered Nurse","G0539",649.16999999999996,23,"N/A","N/A","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",248.85,"N/A","2025-07-01","2026-06-30"]
[44,"Santa Cruz","Registered Nurse","H0003",649.16999999999996,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening. Laboratory analysis of specimens for presence of alcohol and/or drugs, 15 minutes","N/A",162.29,"N/A","2025-07-01","2026-06-30"]
[44,"Santa Cruz","Registered Nurse","T1006",649.16999999999996,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or substance abuse services, family/couple counseling, 15 minutes","N/A",162.29,"N/A","2025-07-01","2026-06-30"]
[44,"Santa Cruz","Registered Pharmacist",97551,765.02,15,"N/A","N/A","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",191.26,"N/A","2025-07-01","2026-06-30"]
[44,"Santa Cruz","Registered Pharmacist","H0034",765.02,15,"N/A","N/A","N/A","Medication Services","Medication training and support, 15 minutes","N/A",191.26,"N/A","2025-07-01","2026-06-30"]
[44,"Santa Cruz","Registered Pharmacist","T1017",765.02,15,"N/A","N/A","N/A","Care Coordination","Targeted case management, 15 minutes","N/A",191.26,"N/A","2025-07-01","2026-06-30"]
[49,"Sonoma","Certified AOD Counselor","H0001",342.11,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug assessment, 15 minutes","N/A",85.53,"N/A","2025-07-01","2026-06-30"]
[49,"Sonoma","Certified AOD Counselor","H2015",342.11,15,"N/A","N/A","N/A","Recovery","Comprehensive community support services, 15 minutes","N/A",85.53,"N/A","2025-07-01","2026-06-30"]
[49,"Sonoma","LCSW (Licensed, Waivered or Registered)",90847,412.44,50,"N/A","N/A","N/A","Family Therapy","Family Psychotherapy (Conjoint psychotheraphy with Patient Present), 50 minutes","N/A",343.7,"N/A","2025-07-01","2026-06-30"]
[49,"Sonoma","LCSW (Licensed, Waivered or Registered)",96160,412.44,15,"N/A","N/A","N/A","Care Coordination","Administration of patient-focused health risk assessment instrument (eg, health hazard appraisal) with scoring and documentation, per standardized instrument, 15 minutes","N/A",103.11,"N/A","2025-07-01","2026-06-30"]
[49,"Sonoma","LCSW (Licensed, Waivered or Registered)","G0541",412.44,23,"N/A","N/A","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",158.1,"N/A","2025-07-01","2026-06-30"]
[49,"Sonoma","LCSW (Licensed, Waivered or Registered)","H1000",412.44,15,"N/A","N/A","N/A","Assessment","Prenatal Care, at risk assessment, 15 minutes ","N/A",103.11,"N/A","2025-07-01","2026-06-30"]
[49,"Sonoma","LCSW (Licensed, Waivered or Registered)","H2021",412.44,15,"N/A","N/A","N/A","Treatment Planning","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",103.11,"N/A","2025-07-01","2026-06-30"]
[49,"Sonoma","Licensed Physician",90847,1584.77,50,"N/A","N/A","N/A","Family Therapy","Family Psychotherapy (Conjoint psychotheraphy with Patient Present), 50 minutes","N/A",1320.64,"N/A","2025-07-01","2026-06-30"]
[49,"Sonoma","Licensed Physician",96203,1584.77,15,"N/A","N/A","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",88.04,"N/A","2025-07-01","2026-06-30"]
[49,"Sonoma","Licensed Physician",99204,1584.77,52,"N/A","N/A","N/A","Assessment","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. 45-59 minutes total time on the date of the encounter.","N/A",1373.47,"N/A","2025-07-01","2026-06-30"]
[49,"Sonoma","Licensed Physician",99239,1584.77,60,"N/A","N/A","N/A","Discharge","Hospital inpatient or observation discharge day management; 30-1440 minutes on the date of the encounter","N/A",1584.77,"N/A","2025-07-01","2026-06-30"]
[49,"Sonoma","Licensed Physician",99408,1584.77,23,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or substance (other than tobacco) abuse structural screening (eg, AUDIT ,DAST), and brief intervention (SBI) services. 15-30 minutes. ","N/A",607.5,"N/A","2025-07-01","2026-06-30"]
[49,"Sonoma","Licensed Physician",99443,1584.77,26,"N/A","N/A","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",686.73,"N/A","2025-07-01","2026-06-30"]
[49,"Sonoma","Licensed Physician","G0396",1584.77,23,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 15-30 Minutes","N/A",607.5,"N/A","2025-07-01","2026-06-30"]
[49,"Sonoma","Licensed Physician","H0034",1584.77,15,"N/A","N/A","N/A","Medication Services","Medication training and support, 15 minutes","N/A",396.19,"N/A","2025-07-01","2026-06-30"]
[49,"Sonoma","Licensed Physician","H2021",1584.77,15,"N/A","N/A","N/A","Treatment Planning","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",396.19,"N/A","2025-07-01","2026-06-30"]
[49,"Sonoma","Licensed Physician","T1017",1584.77,15,"N/A","N/A","N/A","Care Coordination","Targeted case management, 15 minutes","N/A",396.19,"N/A","2025-07-01","2026-06-30"]
[49,"Sonoma","Licensed Psychiatric Technician","G0397",289.89999999999998,60,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 31-1440 Minutes","N/A",289.89999999999998,"N/A","2025-07-01","2026-06-30"]
[49,"Sonoma","Licensed Psychiatric Technician","G0543",289.89999999999998,45,"N/A","N/A","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",48.32,"N/A","2025-07-01","2026-06-30"]
[49,"Sonoma","Licensed Psychiatric Technician","H0050",289.89999999999998,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or Drug Services, brief intervention, 15 minutes","N/A",72.48,"N/A","2025-07-01","2026-06-30"]
[49,"Sonoma","Licensed Psychiatric Technician","T1007",289.89999999999998,15,"N/A","N/A","N/A","Treatment Planning","Alcohol and/or substance abuse services, treatment plan development and/or modification, 15 minutes","N/A",72.48,"N/A","2025-07-01","2026-06-30"]
[49,"Sonoma","Licensed Vocational Nurse","G0540",338.16,15,"N/A","N/A","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",84.54,"N/A","2025-07-01","2026-06-30"]
[49,"Sonoma","Licensed Vocational Nurse","H0003",338.16,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening. Laboratory analysis of specimens for presence of alcohol and/or drugs, 15 minutes","N/A",84.54,"N/A","2025-07-01","2026-06-30"]
[49,"Sonoma","Licensed Vocational Nurse","H1000",338.16,15,"N/A","N/A","N/A","Assessment","Prenatal Care, at risk assessment, 15 minutes ","N/A",84.54,"N/A","2025-07-01","2026-06-30"]
[49,"Sonoma","Medical Assistant",96160,232.46,15,"N/A","N/A","N/A","Care Coordination","Administration of patient-focused health risk assessment instrument (eg, health hazard appraisal) with scoring and documentation, per standardized instrument, 15 minutes","N/A",58.12,"N/A","2025-07-01","2026-06-30"]
[49,"Sonoma","Medical Assistant","H0049",232.46,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening, 15 minutes","N/A",58.12,"N/A","2025-07-01","2026-06-30"]
[49,"Sonoma","MFT/LPCC (Licensed, Waivered or Registered)",90785,412.44,"N/A","N/A","N/A","N/A","Supplemental","Interactive complexity. There is no assigned time for this code. ","N/A",18.89,"N/A","2025-07-01","2026-06-30"]
[49,"Sonoma","MFT/LPCC (Licensed, Waivered or Registered)",98966,412.44,8,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[49,"Sonoma","MFT/LPCC (Licensed, Waivered or Registered)","G0542",412.44,15,"N/A","N/A","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",103.11,"N/A","2025-07-01","2026-06-30"]
[49,"Sonoma","MFT/LPCC (Licensed, Waivered or Registered)","H2017",412.44,15,"N/A","N/A","N/A","Recovery","Psychosocial rehabilitation services, 15 Minutes","N/A",103.11,"N/A","2025-07-01","2026-06-30"]
[49,"Sonoma","MFT/LPCC (Licensed, Waivered or Registered)","T2021",412.44,15,"N/A",22,"N/A","Family Therapy","Therapy substitute, 15 minutes","N/A",106.12,"N/A","2025-07-01","2026-06-30"]
[49,"Sonoma","Nurse Practitioner",90885,788.07,60,"N/A","N/A","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",788.07,"N/A","2025-07-01","2026-06-30"]
[49,"Sonoma","Nurse Practitioner",96170,788.07,30,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; initial 30 minutes","N/A",394.04,"N/A","2025-07-01","2026-06-30"]
[49,"Sonoma","Nurse Practitioner",99202,788.07,22,"N/A","N/A","N/A","Assessment","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. 15-29 minutes total time on the date of the encounter.","N/A",288.95999999999998,"N/A","2025-07-01","2026-06-30"]
[49,"Sonoma","Nurse Practitioner",99308,788.07,25,"N/A","N/A","N/A","Assessment","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. 20-29 minutes total time on the date of the encounter.","N/A",328.36,"N/A","2025-07-01","2026-06-30"]
[49,"Sonoma","Nurse Practitioner",99342,788.07,45,"N/A","N/A","N/A","Assessment","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. 30-59 minutes total time on the date of the encounter.","N/A",591.04999999999995,"N/A","2025-07-01","2026-06-30"]
[49,"Sonoma","Nurse Practitioner",99418,788.07,15,"N/A","N/A","N/A","Assessment","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 (This code does not follow the midpoint rule. A full 15 minutes must be met before one unit of 99418 can be claimed).","N/A",197.02,"N/A","2025-07-01","2026-06-30"]
[49,"Sonoma","Nurse Practitioner","G0543",788.07,45,"N/A","N/A","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",131.35,"N/A","2025-07-01","2026-06-30"]
[49,"Sonoma","Nurse Practitioner","H0007",788.07,15,"N/A","N/A","N/A","Crisis Intervention","Alcohol and/or drug services; crisis intervention (outpatient), 15 minutes","N/A",197.02,"N/A","2025-07-01","2026-06-30"]
[49,"Sonoma","Nurse Practitioner","H2014",788.07,15,"N/A","HQ","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",43.78,"N/A","2025-07-01","2026-06-30"]
[49,"Sonoma","Occupational Therapist",90882,549.02,15,"N/A","N/A","N/A","Care Coordination","Environmental intervention for medical management purposes on a psychiatric patient's behalf with agencies, employers, or institutions, 15 minutes","N/A",137.26,"N/A","2025-07-01","2026-06-30"]
[49,"Sonoma","Occupational Therapist",97552,549.02,45,"N/A","N/A","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",91.5,"N/A","2025-07-01","2026-06-30"]
[49,"Sonoma","Occupational Therapist","H0004",549.02,15,"N/A","N/A","N/A","Individual Counseling","Behavioral health counseling and therapy, 15 minutes","N/A",137.26,"N/A","2025-07-01","2026-06-30"]
[49,"Sonoma","Other Qualified Practitioner",90882,310.3,15,"N/A","N/A","N/A","Care Coordination","Environmental intervention for medical management purposes on a psychiatric patient's behalf with agencies, employers, or institutions, 15 minutes","N/A",77.58,"N/A","2025-07-01","2026-06-30"]
[49,"Sonoma","Other Qualified Practitioner","H2015",310.3,15,"N/A","N/A","N/A","Recovery","Comprehensive community support services, 15 minutes","N/A",77.58,"N/A","2025-07-01","2026-06-30"]
[49,"Sonoma","Other Qualified Practitioner","T1013",310.3,"N/A","N/A","N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"N/A","2025-07-01","2026-06-30"]
[49,"Sonoma","Physician Assistant",96130,710.76,60,"N/A","N/A","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",710.76,"N/A","2025-07-01","2026-06-30"]
[49,"Sonoma","Physician Assistant",98967,710.76,16,"N/A","N/A","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",189.54,"N/A","2025-07-01","2026-06-30"]
[49,"Sonoma","Physician Assistant",99212,710.76,15,"N/A","N/A","N/A","Assessment","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. 10-19 minutes total time on the date of the encounter.","N/A",177.69,"N/A","2025-07-01","2026-06-30"]
[49,"Sonoma","Physician Assistant",99305,710.76,42,"N/A","N/A","N/A","Assessment","\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. 35-49 minutes total time on the date of the encounter.","N/A",497.53,"N/A","2025-07-01","2026-06-30"]
[49,"Sonoma","Physician Assistant",99415,710.76,60,"N/A","N/A","N/A","Assessment","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",710.76,"N/A","2025-07-01","2026-06-30"]
[49,"Sonoma","Physician Assistant",99437,710.76,30,"N/A","N/A","N/A","Care Coordination","Chronic care management services, each additional 30 minutes by a physician or other qualified health care professional, per calendar month. Code 99437 is reported in conjunction with 99491, when at least an additional 30 minutes of service time is provided beyond 99491.","N/A",355.38,"N/A","2025-07-01","2026-06-30"]
[49,"Sonoma","Physician Assistant","G0540",710.76,15,"N/A","N/A","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",177.69,"N/A","2025-07-01","2026-06-30"]
[49,"Sonoma","Physician Assistant","H0050",710.76,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or Drug Services, brief intervention, 15 minutes","N/A",177.69,"N/A","2025-07-01","2026-06-30"]
[49,"Sonoma","Physician Assistant","T1006",710.76,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or substance abuse services, family/couple counseling, 15 minutes","N/A",177.69,"N/A","2025-07-01","2026-06-30"]
[49,"Sonoma","Physician Assistant","T2021",710.76,15,"N/A",22,"N/A","Family Therapy","Therapy substitute, 15 minutes","N/A",180.7,"N/A","2025-07-01","2026-06-30"]
[49,"Sonoma","Psychologist (Licensed or Waivered)",96203,637.34,15,"N/A","N/A","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",35.409999999999997,"N/A","2025-07-01","2026-06-30"]
[49,"Sonoma","Psychologist (Licensed or Waivered)","G0397",637.34,60,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 31-1440 Minutes","N/A",637.34,"N/A","2025-07-01","2026-06-30"]
[49,"Sonoma","Psychologist (Licensed or Waivered)","H0004",637.34,15,"N/A","N/A","N/A","Individual Counseling","Behavioral health counseling and therapy, 15 minutes","N/A",159.34,"N/A","2025-07-01","2026-06-30"]
[49,"Sonoma","Psychologist (Licensed or Waivered)","T2021",637.34,15,"N/A","N/A","N/A","Family Therapy","Therapy substitute, 15 minutes","N/A",159.34,"N/A","2025-07-01","2026-06-30"]
[49,"Sonoma","Registered Nurse",96202,643.71,60,"N/A","N/A","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",143.05000000000001,"N/A","2025-07-01","2026-06-30"]
[49,"Sonoma","Registered Nurse",99239,643.71,60,"N/A","N/A","N/A","Discharge","Hospital inpatient or observation discharge day management; 30-1440 minutes on the date of the encounter","N/A",643.71,"N/A","2025-07-01","2026-06-30"]
[49,"Sonoma","Registered Nurse","H0033",643.71,15,"N/A","N/A","N/A","Medication Services","Medication administration, direct observation, 15 minutes","N/A",160.93,"N/A","2025-07-01","2026-06-30"]
[49,"Sonoma","Registered Nurse","H1000",643.71,15,"N/A","N/A","N/A","Assessment","Prenatal Care, at risk assessment, 15 minutes ","N/A",160.93,"N/A","2025-07-01","2026-06-30"]
[49,"Sonoma","Registered Pharmacist",90887,758.59,50,"N/A","N/A","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",632.16,"N/A","2025-07-01","2026-06-30"]
[49,"Sonoma","Registered Pharmacist","H0008",758.59,15,"N/A","N/A","N/A","Recovery","Alcohol and/or drug services: (hospital inpatient) Subacute detoxification, 15 minutes","N/A",189.65,"N/A","2025-07-01","2026-06-30"]
[49,"Sonoma","Registered Pharmacist","H0049",758.59,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening, 15 minutes","N/A",189.65,"N/A","2025-07-01","2026-06-30"]
[49,"Sonoma","Registered Pharmacist","H2035",758.59,60,"N/A","N/A","N/A","Recovery","Alcohol and/or other drug treatment program, per hour ","N/A",758.59,"N/A","2025-07-01","2026-06-30"]
[50,"Stanislaus","Certified AOD Counselor","H2027",388.3,15,"N/A","N/A","N/A","Treatment Planning","Psychoeducational Service, 15 minutes","N/A",97.08,"N/A","2025-07-01","2026-06-30"]
[50,"Stanislaus","Community Health Worker","G0022",361,30,"N/A","N/A","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",180.5,"N/A","2025-07-01","2026-06-30"]
[50,"Stanislaus","LCSW (Licensed, Waivered or Registered)",90882,468.13,15,"N/A","N/A","N/A","Care Coordination","Environmental intervention for medical management purposes on a psychiatric patient's behalf with agencies, employers, or institutions, 15 minutes","N/A",117.03,"N/A","2025-07-01","2026-06-30"]
[50,"Stanislaus","LCSW (Licensed, Waivered or Registered)","G0396",468.13,23,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 15-30 Minutes","N/A",179.45,"N/A","2025-07-01","2026-06-30"]
[50,"Stanislaus","LCSW (Licensed, Waivered or Registered)","G0543",468.13,45,"N/A","N/A","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",78.02,"N/A","2025-07-01","2026-06-30"]
[50,"Stanislaus","LCSW (Licensed, Waivered or Registered)","H2014",468.13,15,"N/A","N/A","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",117.03,"N/A","2025-07-01","2026-06-30"]
[50,"Stanislaus","Licensed Physician",90792,1798.73,60,"N/A","N/A","N/A","Assessment","Psychiatric diagnostic evaluation with medical services, 60 minutes","N/A",1798.73,"N/A","2025-07-01","2026-06-30"]
[50,"Stanislaus","Licensed Physician",90882,1798.73,15,"N/A","N/A","N/A","Care Coordination","Environmental intervention for medical management purposes on a psychiatric patient's behalf with agencies, employers, or institutions, 15 minutes","N/A",449.68,"N/A","2025-07-01","2026-06-30"]
[50,"Stanislaus","Licensed Physician",97551,1798.73,15,"N/A","N/A","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",449.68,"N/A","2025-07-01","2026-06-30"]
[50,"Stanislaus","Licensed Physician",99306,1798.73,57,"N/A","N/A","N/A","Assessment","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. 50-64 minutes total time on the date of the encounter.","N/A",1708.79,"N/A","2025-07-01","2026-06-30"]
[50,"Stanislaus","Licensed Physician",99348,1798.73,35,"N/A","N/A","N/A","Assessment","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. 30-39 minutes total time on the date of the encounter.","N/A",1049.26,"N/A","2025-07-01","2026-06-30"]
[50,"Stanislaus","Licensed Physician",99415,1798.73,60,"N/A","N/A","N/A","Assessment","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",1798.73,"N/A","2025-07-01","2026-06-30"]
[50,"Stanislaus","Licensed Physician","G0539",1798.73,23,"N/A","N/A","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",689.51,"N/A","2025-07-01","2026-06-30"]
[50,"Stanislaus","Licensed Physician","H0003",1798.73,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening. Laboratory analysis of specimens for presence of alcohol and/or drugs, 15 minutes","N/A",449.68,"N/A","2025-07-01","2026-06-30"]
[50,"Stanislaus","Licensed Physician","H0049",1798.73,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening, 15 minutes","N/A",449.68,"N/A","2025-07-01","2026-06-30"]
[50,"Stanislaus","Licensed Physician","H2035",1798.73,60,"N/A","N/A","N/A","Recovery","Alcohol and/or other drug treatment program, per hour ","N/A",1798.73,"N/A","2025-07-01","2026-06-30"]
[50,"Stanislaus","Licensed Psychiatric Technician",97550,329.04,23,"N/A","N/A","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",126.13,"N/A","2025-07-01","2026-06-30"]
[50,"Stanislaus","Licensed Psychiatric Technician","G0540",329.04,15,"N/A","N/A","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",82.26,"N/A","2025-07-01","2026-06-30"]
[50,"Stanislaus","Licensed Psychiatric Technician","H2014",329.04,15,"N/A","N/A","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",82.26,"N/A","2025-07-01","2026-06-30"]
[50,"Stanislaus","Licensed Vocational Nurse",90785,383.81,"N/A","N/A","N/A","N/A","Supplemental","Interactive complexity. There is no assigned time for this code. ","N/A",18.89,"N/A","2025-07-01","2026-06-30"]
[50,"Stanislaus","Licensed Vocational Nurse",97552,383.81,45,"N/A","N/A","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",63.97,"N/A","2025-07-01","2026-06-30"]
[50,"Stanislaus","Licensed Vocational Nurse","G0542",383.81,15,"N/A","N/A","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",95.95,"N/A","2025-07-01","2026-06-30"]
[50,"Stanislaus","Licensed Vocational Nurse","H2015",383.81,15,"N/A","N/A","N/A","Recovery","Comprehensive community support services, 15 minutes","N/A",95.95,"N/A","2025-07-01","2026-06-30"]
[50,"Stanislaus","Medical Assistant",90882,263.83999999999997,15,"N/A","N/A","N/A","Care Coordination","Environmental intervention for medical management purposes on a psychiatric patient's behalf with agencies, employers, or institutions, 15 minutes","N/A",65.959999999999994,"N/A","2025-07-01","2026-06-30"]
[50,"Stanislaus","Medical Assistant",99368,263.83999999999997,60,"N/A","N/A","N/A","Care Coordination","Medical team conference with interdisciplinary team of health care professionals, patient and/or family not present, 30-1440 minutes; participation by nonphysician qualified health care professional","N/A",263.83999999999997,"N/A","2025-07-01","2026-06-30"]
[50,"Stanislaus","MFT/LPCC (Licensed, Waivered or Registered)",90847,468.13,50,"N/A","N/A","N/A","Family Therapy","Family Psychotherapy (Conjoint psychotheraphy with Patient Present), 50 minutes","N/A",390.11,"N/A","2025-07-01","2026-06-30"]
[50,"Stanislaus","MFT/LPCC (Licensed, Waivered or Registered)",96203,468.13,15,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[50,"Stanislaus","MFT/LPCC (Licensed, Waivered or Registered)",98968,468.13,26,"N/A","N/A","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",202.86,"N/A","2025-07-01","2026-06-30"]
[50,"Stanislaus","MFT/LPCC (Licensed, Waivered or Registered)","G2011",468.13,10,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 5-14 Minutes","N/A",78.02,"N/A","2025-07-01","2026-06-30"]
[50,"Stanislaus","MFT/LPCC (Licensed, Waivered or Registered)","T1007",468.13,15,"N/A","N/A","N/A","Treatment Planning","Alcohol and/or substance abuse services, treatment plan development and/or modification, 15 minutes","N/A",117.03,"N/A","2025-07-01","2026-06-30"]
[50,"Stanislaus","MFT/LPCC (Licensed, Waivered or Registered)","T2024",468.13,15,"N/A","N/A","N/A","Assessment","Assessment substitute, 15 minutes","N/A",117.03,"N/A","2025-07-01","2026-06-30"]
[50,"Stanislaus","Nurse Practitioner",90889,894.46,15,"N/A","N/A","N/A","Care Coordination","Preparation of report of patient's psychiatric status, history, treatment, or progress (other than for legal or consultative purposes) for other individuals, agencies, or insurance carriers, 15 minutes","N/A",223.62,"N/A","2025-07-01","2026-06-30"]
[50,"Stanislaus","Nurse Practitioner",99205,894.46,67,"N/A","N/A","N/A","Assessment","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. 60-74 minutes total time on the date of the encounter.","N/A",998.81,"N/A","2025-07-01","2026-06-30"]
[50,"Stanislaus","Nurse Practitioner",99235,894.46,77,"N/A","N/A","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. 70-84 minutes total time on the date of the encounter.","N/A",1147.8900000000001,"N/A","2025-07-01","2026-06-30"]
[50,"Stanislaus","Nurse Practitioner",99310,894.46,52,"N/A","N/A","N/A","Assessment","\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. 45-59 minutes total time on the date of the encounter.","N/A",775.2,"N/A","2025-07-01","2026-06-30"]
[50,"Stanislaus","Nurse Practitioner",99425,894.46,30,"N/A","N/A","N/A","Care Coordination","Principal care management services, for a single high-risk disease, each additional 30 minutes provided personally by a physician or other qualified health care professional, per calendar month. Code 99425 is reported in conjunction with 99424, when at least an additional 30 minutes of service time is provided beyond 99424.","N/A",447.23,"N/A","2025-07-01","2026-06-30"]
[50,"Stanislaus","Nurse Practitioner","G0539",894.46,23,"N/A","N/A","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",342.88,"N/A","2025-07-01","2026-06-30"]
[50,"Stanislaus","Nurse Practitioner","H0001",894.46,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug assessment, 15 minutes","N/A",223.62,"N/A","2025-07-01","2026-06-30"]
[50,"Stanislaus","Nurse Practitioner","H2017",894.46,15,"N/A","HQ","N/A","Recovery","Psychosocial rehabilitation services, 15 Minutes","N/A",49.69,"N/A","2025-07-01","2026-06-30"]
[50,"Stanislaus","Nurse Practitioner","T2021",894.46,15,"N/A","N/A","N/A","Family Therapy","Therapy substitute, 15 minutes","N/A",223.62,"N/A","2025-07-01","2026-06-30"]
[50,"Stanislaus","Occupational Therapist",90889,623.15,15,"N/A","N/A","N/A","Care Coordination","Preparation of report of patient's psychiatric status, history, treatment, or progress (other than for legal or consultative purposes) for other individuals, agencies, or insurance carriers, 15 minutes","N/A",155.79,"N/A","2025-07-01","2026-06-30"]
[50,"Stanislaus","Occupational Therapist","G0541",623.15,23,"N/A","N/A","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",238.87,"N/A","2025-07-01","2026-06-30"]
[50,"Stanislaus","Occupational Therapist","T1013",623.15,"N/A","N/A","N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"N/A","2025-07-01","2026-06-30"]
[50,"Stanislaus","Other Qualified Practitioner","G0397",352.2,60,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 31-1440 Minutes","N/A",352.2,"N/A","2025-07-01","2026-06-30"]
[50,"Stanislaus","Other Qualified Practitioner","H2017",352.2,15,"N/A","N/A","N/A","Recovery","Psychosocial rehabilitation services, 15 Minutes","N/A",88.05,"N/A","2025-07-01","2026-06-30"]
[50,"Stanislaus","Physician Assistant",90882,806.72,15,"N/A","N/A","N/A","Care Coordination","Environmental intervention for medical management purposes on a psychiatric patient's behalf with agencies, employers, or institutions, 15 minutes","N/A",201.68,"N/A","2025-07-01","2026-06-30"]
[50,"Stanislaus","Physician Assistant",96160,806.72,15,"N/A","N/A","N/A","Care Coordination","Administration of patient-focused health risk assessment instrument (eg, health hazard appraisal) with scoring and documentation, per standardized instrument, 15 minutes","N/A",201.68,"N/A","2025-07-01","2026-06-30"]
[50,"Stanislaus","Physician Assistant",99204,806.72,52,"N/A","N/A","N/A","Assessment","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. 45-59 minutes total time on the date of the encounter.","N/A",699.16,"N/A","2025-07-01","2026-06-30"]
[50,"Stanislaus","Physician Assistant",99308,806.72,25,"N/A","N/A","N/A","Assessment","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. 20-29 minutes total time on the date of the encounter.","N/A",336.13,"N/A","2025-07-01","2026-06-30"]
[50,"Stanislaus","Physician Assistant",99350,806.72,67,"N/A","N/A","N/A","Assessment","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. 60-74 minutes total time on the date of the encounter.","N/A",900.84,"N/A","2025-07-01","2026-06-30"]
[50,"Stanislaus","Physician Assistant",99417,806.72,15,"N/A","N/A","N/A","Assessment","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 (This code does not follow the midpoint rule. A  full 15 minutes must be met before one unit of 99417 can be claimed).","N/A",201.68,"N/A","2025-07-01","2026-06-30"]
[50,"Stanislaus","Physician Assistant","G0542",806.72,15,"N/A","N/A","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",201.68,"N/A","2025-07-01","2026-06-30"]
[50,"Stanislaus","Physician Assistant","H0033",806.72,15,"N/A","N/A","N/A","Medication Services","Medication administration, direct observation, 15 minutes","N/A",201.68,"N/A","2025-07-01","2026-06-30"]
[50,"Stanislaus","Physician Assistant","H2017",806.72,15,"N/A","N/A","N/A","Recovery","Psychosocial rehabilitation services, 15 Minutes","N/A",201.68,"N/A","2025-07-01","2026-06-30"]
[50,"Stanislaus","Psychologist (Licensed or Waivered)",90791,723.39,60,"N/A","N/A","N/A","Assessment","Psychiatric diagnostic evaluation, 60 minutes","N/A",723.39,"N/A","2025-07-01","2026-06-30"]
[50,"Stanislaus","Psychologist (Licensed or Waivered)",96160,723.39,15,"N/A","N/A","N/A","Care Coordination","Administration of patient-focused health risk assessment instrument (eg, health hazard appraisal) with scoring and documentation, per standardized instrument, 15 minutes","N/A",180.85,"N/A","2025-07-01","2026-06-30"]
[50,"Stanislaus","Psychologist (Licensed or Waivered)",97551,723.39,15,"N/A","N/A","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",180.85,"N/A","2025-07-01","2026-06-30"]
[50,"Stanislaus","Psychologist (Licensed or Waivered)","G0540",723.39,15,"N/A","N/A","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",180.85,"N/A","2025-07-01","2026-06-30"]
[50,"Stanislaus","Psychologist (Licensed or Waivered)","T2021",723.39,15,"N/A","N/A","N/A","Family Therapy","Therapy substitute, 15 minutes","N/A",180.85,"N/A","2025-07-01","2026-06-30"]
[50,"Stanislaus","Psychologist (Licensed or Waivered)","T2024",723.39,15,"N/A","N/A","N/A","Assessment","Assessment substitute, 15 minutes","N/A",180.85,"N/A","2025-07-01","2026-06-30"]
[50,"Stanislaus","Registered Nurse",97550,730.62,23,"N/A","N/A","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",280.07,"N/A","2025-07-01","2026-06-30"]
[50,"Stanislaus","Registered Nurse","G2011",730.62,10,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 5-14 Minutes","N/A",121.77,"N/A","2025-07-01","2026-06-30"]
[50,"Stanislaus","Registered Nurse","H0034",730.62,15,"N/A","N/A","N/A","Medication Services","Medication training and support, 15 minutes","N/A",182.66,"N/A","2025-07-01","2026-06-30"]
[50,"Stanislaus","Registered Nurse","H2014",730.62,15,"N/A","N/A","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",182.66,"N/A","2025-07-01","2026-06-30"]
[50,"Stanislaus","Registered Pharmacist",97550,861.01,23,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[50,"Stanislaus","Registered Pharmacist","H0033",861.01,15,"N/A","N/A","N/A","Medication Services","Medication administration, direct observation, 15 minutes","N/A",215.25,"N/A","2025-07-01","2026-06-30"]
[50,"Stanislaus","Registered Pharmacist","H1000",861.01,15,"N/A","N/A","N/A","Assessment","Prenatal Care, at risk assessment, 15 minutes ","N/A",215.25,"N/A","2025-07-01","2026-06-30"]
[54,"Tulare","Certified AOD Counselor","H0050",435.76,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or Drug Services, brief intervention, 15 minutes","N/A",108.94,"N/A","2025-07-01","2026-06-30"]
[54,"Tulare","Certified AOD Counselor","T1006",435.76,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or substance abuse services, family/couple counseling, 15 minutes","N/A",108.94,"N/A","2025-07-01","2026-06-30"]
[54,"Tulare","Community Health Worker",98961,313.38,30,"N/A","N/A","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",52.23,"N/A","2025-07-01","2026-06-30"]
[54,"Tulare","LCSW (Licensed, Waivered or Registered)",97550,551.62,23,"N/A","N/A","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",211.45,"N/A","2025-07-01","2026-06-30"]
[54,"Tulare","LCSW (Licensed, Waivered or Registered)","G0539",551.62,23,"N/A","N/A","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",211.45,"N/A","2025-07-01","2026-06-30"]
[54,"Tulare","LCSW (Licensed, Waivered or Registered)","H0001",551.62,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug assessment, 15 minutes","N/A",137.91,"N/A","2025-07-01","2026-06-30"]
[54,"Tulare","LCSW (Licensed, Waivered or Registered)","T2021",551.62,15,"N/A",22,"N/A","Family Therapy","Therapy substitute, 15 minutes","N/A",140.91999999999999,"N/A","2025-07-01","2026-06-30"]
[54,"Tulare","Licensed Physician",90847,1592.76,50,"N/A","N/A","N/A","Family Therapy","Family Psychotherapy (Conjoint psychotheraphy with Patient Present), 50 minutes","N/A",1327.3,"N/A","2025-07-01","2026-06-30"]
[54,"Tulare","Licensed Physician",90889,1592.76,15,"N/A","N/A","N/A","Care Coordination","Preparation of report of patient's psychiatric status, history, treatment, or progress (other than for legal or consultative purposes) for other individuals, agencies, or insurance carriers, 15 minutes","N/A",398.19,"N/A","2025-07-01","2026-06-30"]
[54,"Tulare","Licensed Physician",99238,1592.76,30,"N/A","N/A","N/A","Discharge","Hospital inpatient or observation discharge day management; 30 minutes or less on the date of the encounter","N/A",796.38,"N/A","2025-07-01","2026-06-30"]
[54,"Tulare","Licensed Physician",99308,1592.76,25,"N/A","N/A","N/A","Assessment","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. 20-29 minutes total time on the date of the encounter.","N/A",663.65,"N/A","2025-07-01","2026-06-30"]
[54,"Tulare","Licensed Physician",99350,1592.76,67,"N/A","N/A","N/A","Assessment","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. 60-74 minutes total time on the date of the encounter.","N/A",1778.58,"N/A","2025-07-01","2026-06-30"]
[54,"Tulare","Licensed Physician",99496,1592.76,75,"N/A","N/A","N/A","Discharge","Transitional Care Management Services with the following required elements: Communication (direct contact, telephone, electronic) with the patient and/or caregiver within 2 business days of discharge. Medical decision making of high complexity during the service period, face-to-face visit within 7 calendar days of discharge, 75 minutes","N/A",1990.95,"N/A","2025-07-01","2026-06-30"]
[54,"Tulare","Licensed Physician","G0541",1592.76,23,"N/A","N/A","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",610.55999999999995,"N/A","2025-07-01","2026-06-30"]
[54,"Tulare","Licensed Physician","H0007",1592.76,15,"N/A","N/A","N/A","Crisis Intervention","Alcohol and/or drug services; crisis intervention (outpatient), 15 minutes","N/A",398.19,"N/A","2025-07-01","2026-06-30"]
[54,"Tulare","Licensed Physician","T1013",1592.76,"N/A","N/A","N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"N/A","2025-07-01","2026-06-30"]
[54,"Tulare","Licensed Psychiatric Technician",96170,285.63,30,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; initial 30 minutes","N/A",142.82,"N/A","2025-07-01","2026-06-30"]
[54,"Tulare","Licensed Psychiatric Technician",97552,285.63,45,"N/A","N/A","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",47.61,"N/A","2025-07-01","2026-06-30"]
[54,"Tulare","Licensed Psychiatric Technician","H0048",285.63,15,"N/A","N/A","N/A","Assessment","Alcohol and/or other drug testing. Collection and handling only, specimens other than blood, 15 minutes","N/A",71.41,"N/A","2025-07-01","2026-06-30"]
[54,"Tulare","Licensed Psychiatric Technician","H2027",285.63,15,"N/A","N/A","N/A","Treatment Planning","Psychoeducational Service, 15 minutes","N/A",71.41,"N/A","2025-07-01","2026-06-30"]
[54,"Tulare","Licensed Vocational Nurse",90882,333.18,15,"N/A","N/A","N/A","Care Coordination","Environmental intervention for medical management purposes on a psychiatric patient's behalf with agencies, employers, or institutions, 15 minutes","N/A",83.3,"N/A","2025-07-01","2026-06-30"]
[54,"Tulare","Licensed Vocational Nurse","H0001",333.18,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug assessment, 15 minutes","N/A",83.3,"N/A","2025-07-01","2026-06-30"]
[54,"Tulare","Licensed Vocational Nurse","H0050",333.18,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or Drug Services, brief intervention, 15 minutes","N/A",83.3,"N/A","2025-07-01","2026-06-30"]
[54,"Tulare","Licensed Vocational Nurse","H2017",333.18,15,"N/A","N/A","N/A","Recovery","Psychosocial rehabilitation services, 15 Minutes","N/A",83.3,"N/A","2025-07-01","2026-06-30"]
[54,"Tulare","Medical Assistant",96170,310.89999999999998,30,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; initial 30 minutes","N/A",155.44999999999999,"N/A","2025-07-01","2026-06-30"]
[54,"Tulare","Medical Assistant","T1017",310.89999999999998,15,"N/A","N/A","N/A","Care Coordination","Targeted case management, 15 minutes","N/A",77.73,"N/A","2025-07-01","2026-06-30"]
[54,"Tulare","MFT/LPCC (Licensed, Waivered or Registered)",90882,551.62,15,"N/A","N/A","N/A","Care Coordination","Environmental intervention for medical management purposes on a psychiatric patient's behalf with agencies, employers, or institutions, 15 minutes","N/A",137.91,"N/A","2025-07-01","2026-06-30"]
[54,"Tulare","MFT/LPCC (Licensed, Waivered or Registered)",97551,551.62,15,"N/A","N/A","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",137.91,"N/A","2025-07-01","2026-06-30"]
[54,"Tulare","MFT/LPCC (Licensed, Waivered or Registered)","H0005",551.62,15,"N/A","N/A","N/A","Group Counseling","Alcohol and/or drug services; group counseling by a clinician, 15 minutes ","N/A",30.65,"N/A","2025-07-01","2026-06-30"]
[54,"Tulare","MFT/LPCC (Licensed, Waivered or Registered)","H2021",551.62,15,"N/A","N/A","N/A","Treatment Planning","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",137.91,"N/A","2025-07-01","2026-06-30"]
[54,"Tulare","MFT/LPCC (Licensed, Waivered or Registered)","T1017",551.62,15,"N/A","N/A","N/A","Care Coordination","Targeted case management, 15 minutes","N/A",137.91,"N/A","2025-07-01","2026-06-30"]
[54,"Tulare","Nurse Practitioner",96170,1054,30,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; initial 30 minutes","N/A",527,"N/A","2025-07-01","2026-06-30"]
[54,"Tulare","Nurse Practitioner",98968,1054,26,"N/A","N/A","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",456.73,"N/A","2025-07-01","2026-06-30"]
[54,"Tulare","Nurse Practitioner",99213,1054,25,"N/A","N/A","N/A","Assessment","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. 20-29 minutes total time on the date of the encounter.","N/A",439.17,"N/A","2025-07-01","2026-06-30"]
[54,"Tulare","Nurse Practitioner",99344,1054,67,"N/A","N/A","N/A","Assessment","\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. 60-74 minutes total time on the date of the encounter.","N/A",1176.97,"N/A","2025-07-01","2026-06-30"]
[54,"Tulare","Nurse Practitioner",99416,1054,30,"N/A","N/A","N/A","Assessment","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",527,"N/A","2025-07-01","2026-06-30"]
[54,"Tulare","Nurse Practitioner",99441,1054,8,"N/A","N/A","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",140.53,"N/A","2025-07-01","2026-06-30"]
[54,"Tulare","Nurse Practitioner","G0543",1054,45,"N/A","N/A","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",175.67,"N/A","2025-07-01","2026-06-30"]
[54,"Tulare","Nurse Practitioner","H1000",1054,15,"N/A","N/A","N/A","Assessment","Prenatal Care, at risk assessment, 15 minutes ","N/A",263.5,"N/A","2025-07-01","2026-06-30"]
[54,"Tulare","Nurse Practitioner","H2021",1054,15,"N/A","N/A","N/A","Treatment Planning","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",263.5,"N/A","2025-07-01","2026-06-30"]
[54,"Tulare","Nurse Practitioner","T2024",1054,15,"N/A","N/A","N/A","Assessment","Assessment substitute, 15 minutes","N/A",263.5,"N/A","2025-07-01","2026-06-30"]
[54,"Tulare","Occupational Therapist","G0543",540.94000000000005,45,"N/A","N/A","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",90.16,"N/A","2025-07-01","2026-06-30"]
[54,"Tulare","Occupational Therapist","H2017",540.94000000000005,15,"N/A","HQ","N/A","Recovery","Psychosocial rehabilitation services, 15 Minutes","N/A",30.05,"N/A","2025-07-01","2026-06-30"]
[54,"Tulare","Other Qualified Practitioner","G0397",305.73,60,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 31-1440 Minutes","N/A",305.73,"N/A","2025-07-01","2026-06-30"]
[54,"Tulare","Other Qualified Practitioner","H2035",305.73,60,"N/A","N/A","N/A","Recovery","Alcohol and/or other drug treatment program, per hour ","N/A",305.73,"N/A","2025-07-01","2026-06-30"]
[54,"Tulare","Physician Assistant",90846,950.6,50,"N/A","N/A","N/A","Family Therapy","Family Psychotherapy (Without the Patient Present), 50 minutes","N/A",792.17,"N/A","2025-07-01","2026-06-30"]
[54,"Tulare","Physician Assistant",90887,950.6,50,"N/A","N/A","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",792.17,"N/A","2025-07-01","2026-06-30"]
[54,"Tulare","Physician Assistant",99204,950.6,52,"N/A","N/A","N/A","Assessment","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. 45-59 minutes total time on the date of the encounter.","N/A",823.85,"N/A","2025-07-01","2026-06-30"]
[54,"Tulare","Physician Assistant",99213,950.6,25,"N/A","N/A","N/A","Assessment","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. 20-29 minutes total time on the date of the encounter.","N/A",396.08,"N/A","2025-07-01","2026-06-30"]
[54,"Tulare","Physician Assistant",99310,950.6,52,"N/A","N/A","N/A","Assessment","\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. 45-59 minutes total time on the date of the encounter.","N/A",823.85,"N/A","2025-07-01","2026-06-30"]
[54,"Tulare","Physician Assistant",99408,950.6,23,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or substance (other than tobacco) abuse structural screening (eg, AUDIT ,DAST), and brief intervention (SBI) services. 15-30 minutes. ","N/A",364.4,"N/A","2025-07-01","2026-06-30"]
[54,"Tulare","Physician Assistant","G0397",950.6,60,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 31-1440 Minutes","N/A",950.6,"N/A","2025-07-01","2026-06-30"]
[54,"Tulare","Physician Assistant","G2011",950.6,10,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 5-14 Minutes","N/A",158.43,"N/A","2025-07-01","2026-06-30"]
[54,"Tulare","Physician Assistant","H0034",950.6,15,"N/A","N/A","N/A","Medication Services","Medication training and support, 15 minutes","N/A",237.65,"N/A","2025-07-01","2026-06-30"]
[54,"Tulare","Physician Assistant","H2035",950.6,60,"N/A","N/A","N/A","Recovery","Alcohol and/or other drug treatment program, per hour ","N/A",950.6,"N/A","2025-07-01","2026-06-30"]
[54,"Tulare","Psychologist (Licensed or Waivered)",90847,852.41,50,"N/A","N/A","N/A","Family Therapy","Family Psychotherapy (Conjoint psychotheraphy with Patient Present), 50 minutes","N/A",710.34,"N/A","2025-07-01","2026-06-30"]
[54,"Tulare","Psychologist (Licensed or Waivered)",96171,852.41,15,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; each additional 15 minutes","N/A",213.1,"N/A","2025-07-01","2026-06-30"]
[54,"Tulare","Psychologist (Licensed or Waivered)","G0543",852.41,45,"N/A","N/A","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",142.07,"N/A","2025-07-01","2026-06-30"]
[54,"Tulare","Psychologist (Licensed or Waivered)","H2014",852.41,15,"N/A","HQ","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",47.36,"N/A","2025-07-01","2026-06-30"]
[54,"Tulare","Psychologist (Licensed or Waivered)","T1013",852.41,"N/A","N/A","N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"N/A","2025-07-01","2026-06-30"]
[54,"Tulare","Registered Nurse",96203,860.93,15,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[54,"Tulare","Registered Nurse","G0540",860.93,15,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[54,"Tulare","Registered Nurse","H0003",860.93,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening. Laboratory analysis of specimens for presence of alcohol and/or drugs, 15 minutes","N/A",215.23,"N/A","2025-07-01","2026-06-30"]
[54,"Tulare","Registered Nurse","H0049",860.93,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening, 15 minutes","N/A",215.23,"N/A","2025-07-01","2026-06-30"]
[54,"Tulare","Registered Pharmacist",97551,1014.58,15,"N/A","N/A","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",253.65,"N/A","2025-07-01","2026-06-30"]
[54,"Tulare","Registered Pharmacist","H0009",1014.58,15,"N/A","N/A","N/A","Recovery","Alcohol and/or drug services:  (hospital inpatient) Acute detoxification, 15 minutes","N/A",253.65,"N/A","2025-07-01","2026-06-30"]
[54,"Tulare","Registered Pharmacist","H0034",1014.58,15,"N/A","N/A","N/A","Medication Services","Medication training and support, 15 minutes","N/A",253.65,"N/A","2025-07-01","2026-06-30"]
[56,"Ventura","Certified AOD Counselor","H0004",312.63,15,"N/A","N/A","N/A","Individual Counseling","Behavioral health counseling and therapy, 15 minutes","N/A",78.16,"N/A","2025-07-01","2026-06-30"]
[56,"Ventura","Certified AOD Counselor","H2014",312.63,15,"N/A","HQ","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",17.37,"N/A","2025-07-01","2026-06-30"]
[56,"Ventura","Certified AOD Counselor","T1013",312.63,"N/A","N/A","N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"N/A","2025-07-01","2026-06-30"]
[56,"Ventura","LCSW (Licensed, Waivered or Registered)",96160,376.91,15,"N/A","N/A","N/A","Care Coordination","Administration of patient-focused health risk assessment instrument (eg, health hazard appraisal) with scoring and documentation, per standardized instrument, 15 minutes","N/A",94.23,"N/A","2025-07-01","2026-06-30"]
[56,"Ventura","LCSW (Licensed, Waivered or Registered)",98966,376.91,8,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[56,"Ventura","LCSW (Licensed, Waivered or Registered)","G0541",376.91,23,"N/A","N/A","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",144.47999999999999,"N/A","2025-07-01","2026-06-30"]
[56,"Ventura","LCSW (Licensed, Waivered or Registered)","H2027",376.91,15,"N/A","N/A","N/A","Treatment Planning","Psychoeducational Service, 15 minutes","N/A",94.23,"N/A","2025-07-01","2026-06-30"]
[56,"Ventura","Licensed Physician",90785,1448.23,"N/A","N/A","N/A","N/A","Supplemental","Interactive complexity. There is no assigned time for this code. ","N/A",18.89,"N/A","2025-07-01","2026-06-30"]
[56,"Ventura","Licensed Physician",90865,1448.23,90,"N/A","N/A","N/A","Assessment","Nacrosynthesis for psychiatric diagnostic and therapeutic purposes (eg, sodium amobarbital (Amytal) interview), 90 minutes","N/A",2172.35,"N/A","2025-07-01","2026-06-30"]
[56,"Ventura","Licensed Physician",99204,1448.23,52,"N/A","N/A","N/A","Assessment","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. 45-59 minutes total time on the date of the encounter.","N/A",1255.1300000000001,"N/A","2025-07-01","2026-06-30"]
[56,"Ventura","Licensed Physician",99239,1448.23,60,"N/A","N/A","N/A","Discharge","Hospital inpatient or observation discharge day management; 30-1440 minutes on the date of the encounter","N/A",1448.23,"N/A","2025-07-01","2026-06-30"]
[56,"Ventura","Licensed Physician",99310,1448.23,52,"N/A","N/A","N/A","Assessment","\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. 45-59 minutes total time on the date of the encounter.","N/A",1255.1300000000001,"N/A","2025-07-01","2026-06-30"]
[56,"Ventura","Licensed Physician",99443,1448.23,26,"N/A","N/A","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",627.57000000000005,"N/A","2025-07-01","2026-06-30"]
[56,"Ventura","Licensed Physician","G0396",1448.23,23,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 15-30 Minutes","N/A",555.15,"N/A","2025-07-01","2026-06-30"]
[56,"Ventura","Licensed Physician","G0543",1448.23,45,"N/A","N/A","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",241.37,"N/A","2025-07-01","2026-06-30"]
[56,"Ventura","Licensed Physician","H2021",1448.23,15,"N/A","N/A","N/A","Treatment Planning","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",362.06,"N/A","2025-07-01","2026-06-30"]
[56,"Ventura","Licensed Physician","T2021",1448.23,15,"N/A","HQ","N/A","Family Therapy","Therapy substitute, 15 minutes","N/A",80.459999999999994,"N/A","2025-07-01","2026-06-30"]
[56,"Ventura","Licensed Psychiatric Technician",96202,264.92,60,"N/A","N/A","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",58.87,"N/A","2025-07-01","2026-06-30"]
[56,"Ventura","Licensed Psychiatric Technician","H0009",264.92,15,"N/A","N/A","N/A","Recovery","Alcohol and/or drug services:  (hospital inpatient) Acute detoxification, 15 minutes","N/A",66.23,"N/A","2025-07-01","2026-06-30"]
[56,"Ventura","Licensed Psychiatric Technician","H0050",264.92,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or Drug Services, brief intervention, 15 minutes","N/A",66.23,"N/A","2025-07-01","2026-06-30"]
[56,"Ventura","Licensed Psychiatric Technician","T1007",264.92,15,"N/A","N/A","N/A","Treatment Planning","Alcohol and/or substance abuse services, treatment plan development and/or modification, 15 minutes","N/A",66.23,"N/A","2025-07-01","2026-06-30"]
[56,"Ventura","Licensed Vocational Nurse",96170,309.02,30,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; initial 30 minutes","N/A",154.51,"N/A","2025-07-01","2026-06-30"]
[56,"Ventura","Licensed Vocational Nurse","H0007",309.02,15,"N/A","N/A","N/A","Crisis Intervention","Alcohol and/or drug services; crisis intervention (outpatient), 15 minutes","N/A",77.260000000000005,"N/A","2025-07-01","2026-06-30"]
[56,"Ventura","Licensed Vocational Nurse","H2014",309.02,15,"N/A","HQ","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",17.170000000000002,"N/A","2025-07-01","2026-06-30"]
[56,"Ventura","Medical Assistant","H0001",212.43,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug assessment, 15 minutes","N/A",53.11,"N/A","2025-07-01","2026-06-30"]
[56,"Ventura","Medical Assistant","H2017",212.43,15,"N/A","N/A","N/A","Recovery","Psychosocial rehabilitation services, 15 Minutes","N/A",53.11,"N/A","2025-07-01","2026-06-30"]
[56,"Ventura","MFT/LPCC (Licensed, Waivered or Registered)",90785,376.91,"N/A","N/A","N/A","N/A","Supplemental","Interactive complexity. There is no assigned time for this code. ","N/A",18.89,"N/A","2025-07-01","2026-06-30"]
[56,"Ventura","MFT/LPCC (Licensed, Waivered or Registered)",96160,376.91,15,"N/A","N/A","N/A","Care Coordination","Administration of patient-focused health risk assessment instrument (eg, health hazard appraisal) with scoring and documentation, per standardized instrument, 15 minutes","N/A",94.23,"N/A","2025-07-01","2026-06-30"]
[56,"Ventura","MFT/LPCC (Licensed, Waivered or Registered)","G0543",376.91,45,"N/A","N/A","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",62.82,"N/A","2025-07-01","2026-06-30"]
[56,"Ventura","MFT/LPCC (Licensed, Waivered or Registered)","H0049",376.91,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening, 15 minutes","N/A",94.23,"N/A","2025-07-01","2026-06-30"]
[56,"Ventura","MFT/LPCC (Licensed, Waivered or Registered)","H2035",376.91,60,"N/A","N/A","N/A","Recovery","Alcohol and/or other drug treatment program, per hour ","N/A",376.91,"N/A","2025-07-01","2026-06-30"]
[56,"Ventura","Nurse Practitioner",90885,720.17,60,"N/A","N/A","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",720.17,"N/A","2025-07-01","2026-06-30"]
[56,"Ventura","Nurse Practitioner",96170,720.17,30,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; initial 30 minutes","N/A",360.09,"N/A","2025-07-01","2026-06-30"]
[56,"Ventura","Nurse Practitioner",99213,720.17,25,"N/A","N/A","N/A","Assessment","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. 20-29 minutes total time on the date of the encounter.","N/A",300.07,"N/A","2025-07-01","2026-06-30"]
[56,"Ventura","Nurse Practitioner",99309,720.17,37,"N/A","N/A","N/A","Assessment","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. 30-44 minutes total time on the date of the encounter.\t","N/A",444.1,"N/A","2025-07-01","2026-06-30"]
[56,"Ventura","Nurse Practitioner",99347,720.17,25,"N/A","N/A","N/A","Assessment","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. 20-29 minutes total time on the date of the encounter.","N/A",300.07,"N/A","2025-07-01","2026-06-30"]
[56,"Ventura","Nurse Practitioner",99418,720.17,15,"N/A","N/A","N/A","Assessment","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 (This code does not follow the midpoint rule. A full 15 minutes must be met before one unit of 99418 can be claimed).","N/A",180.04,"N/A","2025-07-01","2026-06-30"]
[56,"Ventura","Nurse Practitioner","G0543",720.17,45,"N/A","N/A","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",120.03,"N/A","2025-07-01","2026-06-30"]
[56,"Ventura","Nurse Practitioner","H0003",720.17,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening. Laboratory analysis of specimens for presence of alcohol and/or drugs, 15 minutes","N/A",180.04,"N/A","2025-07-01","2026-06-30"]
[56,"Ventura","Nurse Practitioner","H2014",720.17,15,"N/A","N/A","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",180.04,"N/A","2025-07-01","2026-06-30"]
[56,"Ventura","Occupational Therapist",90887,501.72,50,"N/A","N/A","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",418.1,"N/A","2025-07-01","2026-06-30"]
[56,"Ventura","Occupational Therapist","G0539",501.72,23,"N/A","N/A","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",192.33,"N/A","2025-07-01","2026-06-30"]
[56,"Ventura","Occupational Therapist","H0004",501.72,15,"N/A","N/A","N/A","Individual Counseling","Behavioral health counseling and therapy, 15 minutes","N/A",125.43,"N/A","2025-07-01","2026-06-30"]
[56,"Ventura","Other Qualified Practitioner",90882,283.57,15,"N/A","N/A","N/A","Care Coordination","Environmental intervention for medical management purposes on a psychiatric patient's behalf with agencies, employers, or institutions, 15 minutes","N/A",70.89,"N/A","2025-07-01","2026-06-30"]
[56,"Ventura","Other Qualified Practitioner","H0049",283.57,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening, 15 minutes","N/A",70.89,"N/A","2025-07-01","2026-06-30"]
[56,"Ventura","Other Qualified Practitioner","T1017",283.57,15,"N/A","N/A","N/A","Care Coordination","Targeted case management, 15 minutes","N/A",70.89,"N/A","2025-07-01","2026-06-30"]
[56,"Ventura","Physician Assistant",90849,649.52,84,"N/A","N/A","N/A","Family Therapy","Multiple-family group psychotherapy, 84 minutes","N/A",202.07,"N/A","2025-07-01","2026-06-30"]
[56,"Ventura","Physician Assistant",98967,649.52,16,"N/A","N/A","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",173.21,"N/A","2025-07-01","2026-06-30"]
[56,"Ventura","Physician Assistant",99212,649.52,15,"N/A","N/A","N/A","Assessment","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. 10-19 minutes total time on the date of the encounter.","N/A",162.38,"N/A","2025-07-01","2026-06-30"]
[56,"Ventura","Physician Assistant",99305,649.52,42,"N/A","N/A","N/A","Assessment","\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. 35-49 minutes total time on the date of the encounter.","N/A",454.66,"N/A","2025-07-01","2026-06-30"]
[56,"Ventura","Physician Assistant",99368,649.52,60,"N/A","N/A","N/A","Care Coordination","Medical team conference with interdisciplinary team of health care professionals, patient and/or family not present, 30-1440 minutes; participation by nonphysician qualified health care professional","N/A",649.52,"N/A","2025-07-01","2026-06-30"]
[56,"Ventura","Physician Assistant",99495,649.52,54,"N/A","N/A","N/A","Discharge","Transitional Care Management Services with the following required elements: Communication (direct contact, telephone, electronic) with the patient and/or caregiver within 2 business days of discharge. Medical decision making of at least moderate complexity during the service period, face-to-face visit within 14 calendar days of discharge, 54 minutes","N/A",584.57000000000005,"N/A","2025-07-01","2026-06-30"]
[56,"Ventura","Physician Assistant","G0540",649.52,15,"N/A","N/A","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",162.38,"N/A","2025-07-01","2026-06-30"]
[56,"Ventura","Physician Assistant","H0050",649.52,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or Drug Services, brief intervention, 15 minutes","N/A",162.38,"N/A","2025-07-01","2026-06-30"]
[56,"Ventura","Physician Assistant","T1006",649.52,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or substance abuse services, family/couple counseling, 15 minutes","N/A",162.38,"N/A","2025-07-01","2026-06-30"]
[56,"Ventura","Psychologist (Licensed or Waivered)",90885,582.42999999999995,60,"N/A","N/A","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",582.42999999999995,"N/A","2025-07-01","2026-06-30"]
[56,"Ventura","Psychologist (Licensed or Waivered)",97550,582.42999999999995,23,"N/A","N/A","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",223.26,"N/A","2025-07-01","2026-06-30"]
[56,"Ventura","Psychologist (Licensed or Waivered)","G0539",582.42999999999995,23,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[56,"Ventura","Psychologist (Licensed or Waivered)","H0001",582.42999999999995,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug assessment, 15 minutes","N/A",145.61000000000001,"N/A","2025-07-01","2026-06-30"]
[56,"Ventura","Psychologist (Licensed or Waivered)","H2027",582.42999999999995,15,"N/A","N/A","N/A","Treatment Planning","Psychoeducational Service, 15 minutes","N/A",145.61000000000001,"N/A","2025-07-01","2026-06-30"]
[56,"Ventura","Registered Nurse",96202,588.25,60,"N/A","N/A","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",130.72,"N/A","2025-07-01","2026-06-30"]
[56,"Ventura","Registered Nurse",97552,588.25,45,"N/A","N/A","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",98.04,"N/A","2025-07-01","2026-06-30"]
[56,"Ventura","Registered Nurse","G0542",588.25,15,"N/A","N/A","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",147.06,"N/A","2025-07-01","2026-06-30"]
[56,"Ventura","Registered Nurse","H2014",588.25,15,"N/A","HQ","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",32.68,"N/A","2025-07-01","2026-06-30"]
[56,"Ventura","Registered Pharmacist",90887,693.23,50,"N/A","N/A","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",577.69000000000005,"N/A","2025-07-01","2026-06-30"]
[56,"Ventura","Registered Pharmacist",99368,693.23,60,"N/A","N/A","N/A","Care Coordination","Medical team conference with interdisciplinary team of health care professionals, patient and/or family not present, 30-1440 minutes; participation by nonphysician qualified health care professional","N/A",693.23,"N/A","2025-07-01","2026-06-30"]
[56,"Ventura","Registered Pharmacist","H0049",693.23,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening, 15 minutes","N/A",173.31,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Certified AOD Counselor",90882,394.9,15,"N/A","N/A","N/A","Care Coordination","Environmental intervention for medical management purposes on a psychiatric patient's behalf with agencies, employers, or institutions, 15 minutes","N/A",98.73,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Certified AOD Counselor","H0007",394.9,15,"N/A","N/A","N/A","Crisis Intervention","Alcohol and/or drug services; crisis intervention (outpatient), 15 minutes","N/A",98.73,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Community Health Worker",98960,367.14,30,"N/A","N/A","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",183.57,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","LCSW (Licensed, Waivered or Registered)",90882,476.08,15,"N/A","N/A","N/A","Care Coordination","Environmental intervention for medical management purposes on a psychiatric patient's behalf with agencies, employers, or institutions, 15 minutes","N/A",119.02,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","LCSW (Licensed, Waivered or Registered)",96171,476.08,15,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; each additional 15 minutes","N/A",119.02,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","LCSW (Licensed, Waivered or Registered)","H0005",476.08,15,"N/A","N/A","N/A","Group Counseling","Alcohol and/or drug services; group counseling by a clinician, 15 minutes ","N/A",26.45,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","LCSW (Licensed, Waivered or Registered)","H2015",476.08,15,"N/A","N/A","N/A","Recovery","Comprehensive community support services, 15 minutes","N/A",119.02,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","LCSW (Licensed, Waivered or Registered)","T1006",476.08,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or substance abuse services, family/couple counseling, 15 minutes","N/A",119.02,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Licensed Physician",90792,1829.3,60,"N/A","N/A","N/A","Assessment","Psychiatric diagnostic evaluation with medical services, 60 minutes","N/A",1829.3,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Licensed Physician",97551,1829.3,15,"N/A","N/A","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",457.33,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Licensed Physician",99212,1829.3,15,"N/A","N/A","N/A","Assessment","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. 10-19 minutes total time on the date of the encounter.","N/A",457.33,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Licensed Physician",99306,1829.3,57,"N/A","N/A","N/A","Assessment","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. 50-64 minutes total time on the date of the encounter.","N/A",1737.84,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Licensed Physician",99416,1829.3,30,"N/A","N/A","N/A","Assessment","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",914.65,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Licensed Physician",99491,1829.3,30,"N/A","N/A","N/A","Care Coordination","Chronic care management services, first 30 minutes provided personally by a physician or other qualified health care professional, per calendar month. At least 30 minutes of service must be provided before 1 unit of this code can be reported.","N/A",914.65,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Licensed Physician","G0539",1829.3,23,"N/A","N/A","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",701.23,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Licensed Physician","H0049",1829.3,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening, 15 minutes","N/A",457.33,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Licensed Physician","H2035",1829.3,60,"N/A","N/A","N/A","Recovery","Alcohol and/or other drug treatment program, per hour ","N/A",1829.3,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Licensed Psychiatric Technician",90785,334.63,"N/A","N/A","N/A","N/A","Supplemental","Interactive complexity. There is no assigned time for this code. ","N/A",18.89,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Licensed Psychiatric Technician","H0001",334.63,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug assessment, 15 minutes","N/A",83.66,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Licensed Psychiatric Technician","H0034",334.63,15,"N/A","HQ","N/A","Medication Services","Medication training and support, 15 minutes","N/A",18.59,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Licensed Psychiatric Technician","H2014",334.63,15,"N/A","HQ","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",18.59,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Licensed Vocational Nurse",97552,390.34,45,"N/A","N/A","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",65.06,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Licensed Vocational Nurse","H0001",390.34,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug assessment, 15 minutes","N/A",97.59,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Licensed Vocational Nurse","H0009",390.34,15,"N/A","N/A","N/A","Recovery","Alcohol and/or drug services:  (hospital inpatient) Acute detoxification, 15 minutes","N/A",97.59,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Licensed Vocational Nurse","H0033",390.34,15,"N/A","N/A","N/A","Medication Services","Medication administration, direct observation, 15 minutes","N/A",97.59,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Licensed Vocational Nurse","H0034",390.34,15,"N/A","HQ","N/A","Medication Services","Medication training and support, 15 minutes","N/A",21.69,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Licensed Vocational Nurse","H0034",390.34,15,"N/A","N/A","N/A","Medication Services","Medication training and support, 15 minutes","N/A",97.59,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Licensed Vocational Nurse","H0048",390.34,15,"N/A","N/A","N/A","Assessment","Alcohol and/or other drug testing. Collection and handling only, specimens other than blood, 15 minutes","N/A",97.59,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Licensed Vocational Nurse","H0049",390.34,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening, 15 minutes","N/A",97.59,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Licensed Vocational Nurse","H0050",390.34,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or Drug Services, brief intervention, 15 minutes","N/A",97.59,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Licensed Vocational Nurse","H1000",390.34,15,"N/A","N/A","N/A","Assessment","Prenatal Care, at risk assessment, 15 minutes ","N/A",97.59,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Licensed Vocational Nurse","H2014",390.34,15,"N/A","HQ","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",21.69,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Licensed Vocational Nurse","H2014",390.34,15,"N/A","N/A","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",97.59,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Licensed Vocational Nurse","H2015",390.34,15,"N/A","N/A","N/A","Recovery","Comprehensive community support services, 15 minutes","N/A",97.59,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Licensed Vocational Nurse","H2017",390.34,15,"N/A","HQ","N/A","Recovery","Psychosocial rehabilitation services, 15 Minutes","N/A",21.69,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Licensed Vocational Nurse","H2017",390.34,15,"N/A","N/A","N/A","Recovery","Psychosocial rehabilitation services, 15 Minutes","N/A",97.59,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Licensed Vocational Nurse","H2021",390.34,15,"N/A","N/A","N/A","Treatment Planning","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",97.59,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Licensed Vocational Nurse","H2027",390.34,15,"N/A","N/A","N/A","Treatment Planning","Psychoeducational Service, 15 minutes","N/A",97.59,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Licensed Vocational Nurse","H2035",390.34,60,"N/A","N/A","N/A","Recovery","Alcohol and/or other drug treatment program, per hour ","N/A",390.34,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Licensed Vocational Nurse","T1007",390.34,15,"N/A","N/A","N/A","Treatment Planning","Alcohol and/or substance abuse services, treatment plan development and/or modification, 15 minutes","N/A",97.59,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Licensed Vocational Nurse","T1013",390.34,"N/A","N/A","N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Licensed Vocational Nurse","T1017",390.34,15,"N/A","N/A","N/A","Care Coordination","Targeted case management, 15 minutes","N/A",97.59,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Medical Assistant",90785,268.33,"N/A","N/A","N/A","N/A","Supplemental","Interactive complexity. There is no assigned time for this code. ","N/A",18.32,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Medical Assistant",90882,268.33,15,"N/A","N/A","N/A","Care Coordination","Environmental intervention for medical management purposes on a psychiatric patient's behalf with agencies, employers, or institutions, 15 minutes","N/A",67.08,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Medical Assistant",96160,268.33,15,"N/A","N/A","N/A","Care Coordination","Administration of patient-focused health risk assessment instrument (eg, health hazard appraisal) with scoring and documentation, per standardized instrument, 15 minutes","N/A",67.08,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Medical Assistant",96170,268.33,30,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; initial 30 minutes","N/A",134.16999999999999,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Medical Assistant",96171,268.33,15,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; each additional 15 minutes","N/A",67.08,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Medical Assistant",99368,268.33,60,"N/A","N/A","N/A","Care Coordination","Medical team conference with interdisciplinary team of health care professionals, patient and/or family not present, 30-1440 minutes; participation by nonphysician qualified health care professional","N/A",268.33,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Medical Assistant","H0001",268.33,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug assessment, 15 minutes","N/A",67.08,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Medical Assistant","H0003",268.33,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening. Laboratory analysis of specimens for presence of alcohol and/or drugs, 15 minutes","N/A",67.08,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Medical Assistant","H0033",268.33,15,"N/A","N/A","N/A","Medication Services","Medication administration, direct observation, 15 minutes","N/A",67.08,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Medical Assistant","H0034",268.33,15,"N/A","HQ","N/A","Medication Services","Medication training and support, 15 minutes","N/A",14.91,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Medical Assistant","H0034",268.33,15,"N/A","N/A","N/A","Medication Services","Medication training and support, 15 minutes","N/A",67.08,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Medical Assistant","H0048",268.33,15,"N/A","N/A","N/A","Assessment","Alcohol and/or other drug testing. Collection and handling only, specimens other than blood, 15 minutes","N/A",67.08,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Medical Assistant","H0049",268.33,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening, 15 minutes","N/A",67.08,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Medical Assistant","H2014",268.33,15,"N/A","HQ","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",14.91,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Medical Assistant","H2014",268.33,15,"N/A","N/A","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",67.08,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Medical Assistant","H2017",268.33,15,"N/A","HQ","N/A","Recovery","Psychosocial rehabilitation services, 15 Minutes","N/A",14.91,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Medical Assistant","H2017",268.33,15,"N/A","N/A","N/A","Recovery","Psychosocial rehabilitation services, 15 Minutes","N/A",67.08,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Medical Assistant","H2021",268.33,15,"N/A","N/A","N/A","Treatment Planning","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",67.08,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Medical Assistant","H2027",268.33,15,"N/A","N/A","N/A","Treatment Planning","Psychoeducational Service, 15 minutes","N/A",67.08,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Medical Assistant","T1013",268.33,"N/A","N/A","N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Medical Assistant","T1017",268.33,15,"N/A","N/A","N/A","Care Coordination","Targeted case management, 15 minutes","N/A",67.08,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Medical Assistant","T2024",268.33,15,"N/A","N/A","N/A","Assessment","Assessment substitute, 15 minutes","N/A",67.08,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","MFT/LPCC (Licensed, Waivered or Registered)",90785,476.08,"N/A","N/A","N/A","N/A","Supplemental","Interactive complexity. There is no assigned time for this code. ","N/A",18.89,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","MFT/LPCC (Licensed, Waivered or Registered)",90791,476.08,60,"N/A","N/A","N/A","Assessment","Psychiatric diagnostic evaluation, 60 minutes","N/A",476.08,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","MFT/LPCC (Licensed, Waivered or Registered)",90846,476.08,50,"N/A","N/A","N/A","Family Therapy","Family Psychotherapy (Without the Patient Present), 50 minutes","N/A",396.73,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","MFT/LPCC (Licensed, Waivered or Registered)",90847,476.08,50,"N/A","N/A","N/A","Family Therapy","Family Psychotherapy (Conjoint psychotheraphy with Patient Present), 50 minutes","N/A",396.73,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","MFT/LPCC (Licensed, Waivered or Registered)",90849,476.08,84,"N/A","N/A","N/A","Family Therapy","Multiple-family group psychotherapy, 84 minutes","N/A",148.11000000000001,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","MFT/LPCC (Licensed, Waivered or Registered)",90882,476.08,15,"N/A","N/A","N/A","Care Coordination","Environmental intervention for medical management purposes on a psychiatric patient's behalf with agencies, employers, or institutions, 15 minutes","N/A",119.02,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","MFT/LPCC (Licensed, Waivered or Registered)",90885,476.08,60,"N/A","N/A","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",476.08,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","MFT/LPCC (Licensed, Waivered or Registered)",90887,476.08,50,"N/A","N/A","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",396.73,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","MFT/LPCC (Licensed, Waivered or Registered)",90889,476.08,15,"N/A","N/A","N/A","Care Coordination","Preparation of report of patient's psychiatric status, history, treatment, or progress (other than for legal or consultative purposes) for other individuals, agencies, or insurance carriers, 15 minutes","N/A",119.02,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","MFT/LPCC (Licensed, Waivered or Registered)",96160,476.08,15,"N/A","N/A","N/A","Care Coordination","Administration of patient-focused health risk assessment instrument (eg, health hazard appraisal) with scoring and documentation, per standardized instrument, 15 minutes","N/A",119.02,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","MFT/LPCC (Licensed, Waivered or Registered)",96170,476.08,30,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; initial 30 minutes","N/A",238.04,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","MFT/LPCC (Licensed, Waivered or Registered)",96171,476.08,15,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; each additional 15 minutes","N/A",119.02,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","MFT/LPCC (Licensed, Waivered or Registered)",96202,476.08,60,"N/A","N/A","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",105.8,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","MFT/LPCC (Licensed, Waivered or Registered)",96203,476.08,15,"N/A","N/A","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",26.45,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","MFT/LPCC (Licensed, Waivered or Registered)",97550,476.08,23,"N/A","N/A","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",182.5,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","MFT/LPCC (Licensed, Waivered or Registered)",97551,476.08,15,"N/A","N/A","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",119.02,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","MFT/LPCC (Licensed, Waivered or Registered)",97552,476.08,45,"N/A","N/A","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",79.349999999999994,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","MFT/LPCC (Licensed, Waivered or Registered)",98966,476.08,8,"N/A","N/A","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",63.48,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","MFT/LPCC (Licensed, Waivered or Registered)",98967,476.08,16,"N/A","N/A","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",126.95,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","MFT/LPCC (Licensed, Waivered or Registered)",98968,476.08,26,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","MFT/LPCC (Licensed, Waivered or Registered)",99368,476.08,60,"N/A","N/A","N/A","Care Coordination","Medical team conference with interdisciplinary team of health care professionals, patient and/or family not present, 30-1440 minutes; participation by nonphysician qualified health care professional","N/A",476.08,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","MFT/LPCC (Licensed, Waivered or Registered)","G0323",476.08,60,"N/A","N/A","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",476.08,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","MFT/LPCC (Licensed, Waivered or Registered)","G0396",476.08,23,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 15-30 Minutes","N/A",182.5,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","MFT/LPCC (Licensed, Waivered or Registered)","G0397",476.08,60,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 31-1440 Minutes","N/A",476.08,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","MFT/LPCC (Licensed, Waivered or Registered)","G0539",476.08,23,"N/A","N/A","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",182.5,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","MFT/LPCC (Licensed, Waivered or Registered)","G0540",476.08,15,"N/A","N/A","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",119.02,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","MFT/LPCC (Licensed, Waivered or Registered)","G0541",476.08,23,"N/A","N/A","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",182.5,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","MFT/LPCC (Licensed, Waivered or Registered)","G0542",476.08,15,"N/A","N/A","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",119.02,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","MFT/LPCC (Licensed, Waivered or Registered)","G0543",476.08,45,"N/A","N/A","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",79.349999999999994,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","MFT/LPCC (Licensed, Waivered or Registered)","G2011",476.08,10,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 5-14 Minutes","N/A",79.349999999999994,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","MFT/LPCC (Licensed, Waivered or Registered)","H0001",476.08,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug assessment, 15 minutes","N/A",119.02,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","MFT/LPCC (Licensed, Waivered or Registered)","H0004",476.08,15,"N/A","N/A","N/A","Individual Counseling","Behavioral health counseling and therapy, 15 minutes","N/A",119.02,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","MFT/LPCC (Licensed, Waivered or Registered)","H0005",476.08,15,"N/A","N/A","N/A","Group Counseling","Alcohol and/or drug services; group counseling by a clinician, 15 minutes ","N/A",26.45,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","MFT/LPCC (Licensed, Waivered or Registered)","H0007",476.08,15,"N/A","N/A","N/A","Crisis Intervention","Alcohol and/or drug services; crisis intervention (outpatient), 15 minutes","N/A",119.02,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","MFT/LPCC (Licensed, Waivered or Registered)","H0049",476.08,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening, 15 minutes","N/A",119.02,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","MFT/LPCC (Licensed, Waivered or Registered)","H0050",476.08,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or Drug Services, brief intervention, 15 minutes","N/A",119.02,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","MFT/LPCC (Licensed, Waivered or Registered)","H1000",476.08,15,"N/A","N/A","N/A","Assessment","Prenatal Care, at risk assessment, 15 minutes ","N/A",119.02,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","MFT/LPCC (Licensed, Waivered or Registered)","H2014",476.08,15,"N/A","HQ","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",26.45,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","MFT/LPCC (Licensed, Waivered or Registered)","H2014",476.08,15,"N/A","N/A","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",119.02,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","MFT/LPCC (Licensed, Waivered or Registered)","H2015",476.08,15,"N/A","N/A","N/A","Recovery","Comprehensive community support services, 15 minutes","N/A",119.02,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","MFT/LPCC (Licensed, Waivered or Registered)","H2017",476.08,15,"N/A","HQ","N/A","Recovery","Psychosocial rehabilitation services, 15 Minutes","N/A",26.45,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","MFT/LPCC (Licensed, Waivered or Registered)","H2017",476.08,15,"N/A","N/A","N/A","Recovery","Psychosocial rehabilitation services, 15 Minutes","N/A",119.02,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","MFT/LPCC (Licensed, Waivered or Registered)","H2021",476.08,15,"N/A","N/A","N/A","Treatment Planning","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",119.02,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","MFT/LPCC (Licensed, Waivered or Registered)","H2027",476.08,15,"N/A","N/A","N/A","Treatment Planning","Psychoeducational Service, 15 minutes","N/A",119.02,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","MFT/LPCC (Licensed, Waivered or Registered)","H2035",476.08,60,"N/A","N/A","N/A","Recovery","Alcohol and/or other drug treatment program, per hour ","N/A",476.08,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","MFT/LPCC (Licensed, Waivered or Registered)","T1006",476.08,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or substance abuse services, family/couple counseling, 15 minutes","N/A",119.02,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","MFT/LPCC (Licensed, Waivered or Registered)","T1007",476.08,15,"N/A","N/A","N/A","Treatment Planning","Alcohol and/or substance abuse services, treatment plan development and/or modification, 15 minutes","N/A",119.02,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","MFT/LPCC (Licensed, Waivered or Registered)","T1013",476.08,"N/A","N/A","N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","MFT/LPCC (Licensed, Waivered or Registered)","T1017",476.08,15,"N/A","N/A","N/A","Care Coordination","Targeted case management, 15 minutes","N/A",119.02,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","MFT/LPCC (Licensed, Waivered or Registered)","T2021",476.08,15,"N/A","HQ","N/A","Family Therapy","Therapy substitute, 15 minutes","N/A",26.45,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","MFT/LPCC (Licensed, Waivered or Registered)","T2021",476.08,15,"N/A","N/A","N/A","Family Therapy","Therapy substitute, 15 minutes","N/A",119.02,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","MFT/LPCC (Licensed, Waivered or Registered)","T2021",476.08,15,"N/A",22,"N/A","Family Therapy","Therapy substitute, 15 minutes","N/A",122.03,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","MFT/LPCC (Licensed, Waivered or Registered)","T2024",476.08,15,"N/A","N/A","N/A","Assessment","Assessment substitute, 15 minutes","N/A",119.02,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Nurse Practitioner",90785,909.66,"N/A","N/A","N/A","N/A","Supplemental","Interactive complexity. There is no assigned time for this code. ","N/A",18.89,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Nurse Practitioner",90791,909.66,60,"N/A","N/A","N/A","Assessment","Psychiatric diagnostic evaluation, 60 minutes","N/A",909.66,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Nurse Practitioner",90792,909.66,60,"N/A","N/A","N/A","Assessment","Psychiatric diagnostic evaluation with medical services, 60 minutes","N/A",909.66,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Nurse Practitioner",90846,909.66,50,"N/A","N/A","N/A","Family Therapy","Family Psychotherapy (Without the Patient Present), 50 minutes","N/A",758.05,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Nurse Practitioner",90847,909.66,50,"N/A","N/A","N/A","Family Therapy","Family Psychotherapy (Conjoint psychotheraphy with Patient Present), 50 minutes","N/A",758.05,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Nurse Practitioner",90849,909.66,84,"N/A","N/A","N/A","Family Therapy","Multiple-family group psychotherapy, 84 minutes","N/A",283.01,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Nurse Practitioner",90865,909.66,90,"N/A","N/A","N/A","Assessment","Nacrosynthesis for psychiatric diagnostic and therapeutic purposes (eg, sodium amobarbital (Amytal) interview), 90 minutes","N/A",1364.49,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Nurse Practitioner",90882,909.66,15,"N/A","N/A","N/A","Care Coordination","Environmental intervention for medical management purposes on a psychiatric patient's behalf with agencies, employers, or institutions, 15 minutes","N/A",227.42,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Nurse Practitioner",90885,909.66,60,"N/A","N/A","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",909.66,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Nurse Practitioner",90887,909.66,50,"N/A","N/A","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",758.05,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Nurse Practitioner",90889,909.66,15,"N/A","N/A","N/A","Care Coordination","Preparation of report of patient's psychiatric status, history, treatment, or progress (other than for legal or consultative purposes) for other individuals, agencies, or insurance carriers, 15 minutes","N/A",227.42,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Nurse Practitioner",96130,909.66,60,"N/A","N/A","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",909.66,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Nurse Practitioner",96131,909.66,60,"N/A","N/A","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",909.66,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Nurse Practitioner",96160,909.66,15,"N/A","N/A","N/A","Care Coordination","Administration of patient-focused health risk assessment instrument (eg, health hazard appraisal) with scoring and documentation, per standardized instrument, 15 minutes","N/A",227.42,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Nurse Practitioner",96170,909.66,30,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; initial 30 minutes","N/A",454.83,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Nurse Practitioner",96171,909.66,15,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; each additional 15 minutes","N/A",227.42,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Nurse Practitioner",96202,909.66,60,"N/A","N/A","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",202.15,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Nurse Practitioner",96203,909.66,15,"N/A","N/A","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",50.54,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Nurse Practitioner",97550,909.66,23,"N/A","N/A","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",348.7,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Nurse Practitioner",97551,909.66,15,"N/A","N/A","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",227.42,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Nurse Practitioner",97552,909.66,45,"N/A","N/A","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",151.61000000000001,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Nurse Practitioner",98966,909.66,8,"N/A","N/A","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",121.29,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Nurse Practitioner",98967,909.66,16,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Nurse Practitioner",98968,909.66,26,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Nurse Practitioner",99202,909.66,22,"N/A","N/A","N/A","Assessment","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. 15-29 minutes total time on the date of the encounter.","N/A",333.54,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Nurse Practitioner",99203,909.66,37,"N/A","N/A","N/A","Assessment","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. 30-44 minutes total time on the date of the encounter.","N/A",560.96,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Nurse Practitioner",99204,909.66,52,"N/A","N/A","N/A","Assessment","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. 45-59 minutes total time on the date of the encounter.","N/A",788.37,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Nurse Practitioner",99205,909.66,67,"N/A","N/A","N/A","Assessment","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. 60-74 minutes total time on the date of the encounter.","N/A",1015.79,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Nurse Practitioner",99212,909.66,15,"N/A","N/A","N/A","Assessment","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. 10-19 minutes total time on the date of the encounter.","N/A",227.42,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Nurse Practitioner",99213,909.66,25,"N/A","N/A","N/A","Assessment","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. 20-29 minutes total time on the date of the encounter.","N/A",379.03,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Nurse Practitioner",99214,909.66,35,"N/A","N/A","N/A","Assessment","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. 30-39 minutes total time on the date of the encounter.","N/A",530.64,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Nurse Practitioner",99215,909.66,47,"N/A","N/A","N/A","Assessment","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. 40-54 minutes total time on the date of the encounter.","N/A",712.57,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Nurse Practitioner",99234,909.66,57,"N/A","N/A","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. 45-69 minutes total time on the date of the encounter.","N/A",864.18,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Nurse Practitioner",99235,909.66,77,"N/A","N/A","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. 70-84 minutes total time on the date of the encounter.","N/A",1167.4000000000001,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Nurse Practitioner",99236,909.66,92,"N/A","N/A","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. 85-99 minutes total time on the date of the encounter.","N/A",1394.81,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Nurse Practitioner",99238,909.66,30,"N/A","N/A","N/A","Discharge","Hospital inpatient or observation discharge day management; 30 minutes or less on the date of the encounter","N/A",454.83,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Nurse Practitioner",99239,909.66,60,"N/A","N/A","N/A","Discharge","Hospital inpatient or observation discharge day management; 30-1440 minutes on the date of the encounter","N/A",909.66,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Nurse Practitioner",99304,909.66,30,"N/A","N/A","N/A","Assessment","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. 25-34 minutes total time on the date of the encounter.","N/A",454.83,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Nurse Practitioner",99305,909.66,42,"N/A","N/A","N/A","Assessment","\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. 35-49 minutes total time on the date of the encounter.","N/A",636.76,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Nurse Practitioner",99306,909.66,57,"N/A","N/A","N/A","Assessment","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. 50-64 minutes total time on the date of the encounter.","N/A",864.18,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Nurse Practitioner",99307,909.66,15,"N/A","N/A","N/A","Assessment","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. 10-19 minutes total time on the date of the encounter for code selection.","N/A",227.42,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Nurse Practitioner",99308,909.66,25,"N/A","N/A","N/A","Assessment","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. 20-29 minutes total time on the date of the encounter.","N/A",379.03,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Nurse Practitioner",99309,909.66,37,"N/A","N/A","N/A","Assessment","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. 30-44 minutes total time on the date of the encounter.\t","N/A",560.96,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Nurse Practitioner",99310,909.66,52,"N/A","N/A","N/A","Assessment","\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. 45-59 minutes total time on the date of the encounter.","N/A",788.37,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Nurse Practitioner",99341,909.66,22,"N/A","N/A","N/A","Assessment","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. 15-29 minutes total time on the date of the encounter.","N/A",333.54,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Nurse Practitioner",99342,909.66,45,"N/A","N/A","N/A","Assessment","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. 30-59 minutes total time on the date of the encounter.","N/A",682.25,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Nurse Practitioner",99344,909.66,67,"N/A","N/A","N/A","Assessment","\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. 60-74 minutes total time on the date of the encounter.","N/A",1015.79,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Nurse Practitioner",99345,909.66,82,"N/A","N/A","N/A","Assessment","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. 75-89 minutes total time on the date of the encounter.","N/A",1243.2,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Nurse Practitioner",99347,909.66,25,"N/A","N/A","N/A","Assessment","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. 20-29 minutes total time on the date of the encounter.","N/A",379.03,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Nurse Practitioner",99348,909.66,35,"N/A","N/A","N/A","Assessment","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. 30-39 minutes total time on the date of the encounter.","N/A",530.64,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Nurse Practitioner",99349,909.66,50,"N/A","N/A","N/A","Assessment","\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. 40-59 minutes total time on the date of the encounter.","N/A",758.05,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Nurse Practitioner",99350,909.66,67,"N/A","N/A","N/A","Assessment","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. 60-74 minutes total time on the date of the encounter.","N/A",1015.79,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Nurse Practitioner",99368,909.66,60,"N/A","N/A","N/A","Care Coordination","Medical team conference with interdisciplinary team of health care professionals, patient and/or family not present, 30-1440 minutes; participation by nonphysician qualified health care professional","N/A",909.66,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Nurse Practitioner",99408,909.66,23,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or substance (other than tobacco) abuse structural screening (eg, AUDIT ,DAST), and brief intervention (SBI) services. 15-30 minutes. ","N/A",348.7,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Nurse Practitioner",99409,909.66,60,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or substance (other than tobacco) abuse structural screening (eg, AUDIT ,DAST), and brief intervention (SBI) services. 31-1440 minutes. ","N/A",909.66,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Nurse Practitioner",99415,909.66,60,"N/A","N/A","N/A","Assessment","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",909.66,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Nurse Practitioner",99416,909.66,30,"N/A","N/A","N/A","Assessment","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",454.83,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Nurse Practitioner",99417,909.66,15,"N/A","N/A","N/A","Assessment","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 (This code does not follow the midpoint rule. A  full 15 minutes must be met before one unit of 99417 can be claimed).","N/A",227.42,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Nurse Practitioner",99418,909.66,15,"N/A","N/A","N/A","Assessment","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 (This code does not follow the midpoint rule. A full 15 minutes must be met before one unit of 99418 can be claimed).","N/A",227.42,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Nurse Practitioner",99424,909.66,30,"N/A","N/A","N/A","Care Coordination","Principal care management services, for a single high-risk disease, first 30 minutes provided personally by a physician or other qualified health care professional, per calendar month. At least 30 minutes of service must be provided before 1 unit of this code can be reported.","N/A",454.83,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Nurse Practitioner",99425,909.66,30,"N/A","N/A","N/A","Care Coordination","Principal care management services, for a single high-risk disease, each additional 30 minutes provided personally by a physician or other qualified health care professional, per calendar month. Code 99425 is reported in conjunction with 99424, when at least an additional 30 minutes of service time is provided beyond 99424.","N/A",454.83,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Nurse Practitioner",99437,909.66,30,"N/A","N/A","N/A","Care Coordination","Chronic care management services, each additional 30 minutes by a physician or other qualified health care professional, per calendar month. Code 99437 is reported in conjunction with 99491, when at least an additional 30 minutes of service time is provided beyond 99491.","N/A",454.83,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Nurse Practitioner",99441,909.66,8,"N/A","N/A","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",121.29,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Nurse Practitioner",99442,909.66,16,"N/A","N/A","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",242.58,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Nurse Practitioner",99443,909.66,26,"N/A","N/A","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",394.19,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Nurse Practitioner",99491,909.66,30,"N/A","N/A","N/A","Care Coordination","Chronic care management services, first 30 minutes provided personally by a physician or other qualified health care professional, per calendar month. At least 30 minutes of service must be provided before 1 unit of this code can be reported.","N/A",454.83,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Nurse Practitioner",99495,909.66,54,"N/A","N/A","N/A","Discharge","Transitional Care Management Services with the following required elements: Communication (direct contact, telephone, electronic) with the patient and/or caregiver within 2 business days of discharge. Medical decision making of at least moderate complexity during the service period, face-to-face visit within 14 calendar days of discharge, 54 minutes","N/A",818.69,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Nurse Practitioner",99496,909.66,75,"N/A","N/A","N/A","Discharge","Transitional Care Management Services with the following required elements: Communication (direct contact, telephone, electronic) with the patient and/or caregiver within 2 business days of discharge. Medical decision making of high complexity during the service period, face-to-face visit within 7 calendar days of discharge, 75 minutes","N/A",1137.08,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Nurse Practitioner","G0316",909.66,15,"N/A","N/A","N/A","Assessment","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",227.42,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Nurse Practitioner","G0396",909.66,23,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 15-30 Minutes","N/A",348.7,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Nurse Practitioner","G0397",909.66,60,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 31-1440 Minutes","N/A",909.66,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Nurse Practitioner","G0539",909.66,23,"N/A","N/A","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",348.7,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Nurse Practitioner","G0540",909.66,15,"N/A","N/A","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",227.42,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Nurse Practitioner","G0541",909.66,23,"N/A","N/A","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",348.7,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Nurse Practitioner","G0542",909.66,15,"N/A","N/A","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",227.42,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Nurse Practitioner","G0543",909.66,45,"N/A","N/A","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",151.61000000000001,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Nurse Practitioner","G2011",909.66,10,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 5-14 Minutes","N/A",151.61000000000001,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Nurse Practitioner","H0001",909.66,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug assessment, 15 minutes","N/A",227.42,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Nurse Practitioner","H0003",909.66,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening. Laboratory analysis of specimens for presence of alcohol and/or drugs, 15 minutes","N/A",227.42,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Nurse Practitioner","H0004",909.66,15,"N/A","N/A","N/A","Individual Counseling","Behavioral health counseling and therapy, 15 minutes","N/A",227.42,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Nurse Practitioner","H0005",909.66,15,"N/A","N/A","N/A","Group Counseling","Alcohol and/or drug services; group counseling by a clinician, 15 minutes ","N/A",50.54,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Nurse Practitioner","H0007",909.66,15,"N/A","N/A","N/A","Crisis Intervention","Alcohol and/or drug services; crisis intervention (outpatient), 15 minutes","N/A",227.42,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Nurse Practitioner","H0008",909.66,15,"N/A","N/A","N/A","Recovery","Alcohol and/or drug services: (hospital inpatient) Subacute detoxification, 15 minutes","N/A",227.42,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Nurse Practitioner","H0009",909.66,15,"N/A","N/A","N/A","Recovery","Alcohol and/or drug services:  (hospital inpatient) Acute detoxification, 15 minutes","N/A",227.42,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Nurse Practitioner","H0033",909.66,15,"N/A","N/A","N/A","Medication Services","Medication administration, direct observation, 15 minutes","N/A",227.42,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Nurse Practitioner","H0034",909.66,15,"N/A","HQ","N/A","Medication Services","Medication training and support, 15 minutes","N/A",50.54,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Nurse Practitioner","H0034",909.66,15,"N/A","N/A","N/A","Medication Services","Medication training and support, 15 minutes","N/A",227.42,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Nurse Practitioner","H0048",909.66,15,"N/A","N/A","N/A","Assessment","Alcohol and/or other drug testing. Collection and handling only, specimens other than blood, 15 minutes","N/A",227.42,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Nurse Practitioner","H0049",909.66,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening, 15 minutes","N/A",227.42,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Nurse Practitioner","H0050",909.66,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or Drug Services, brief intervention, 15 minutes","N/A",227.42,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Nurse Practitioner","H1000",909.66,15,"N/A","N/A","N/A","Assessment","Prenatal Care, at risk assessment, 15 minutes ","N/A",227.42,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Nurse Practitioner","H2014",909.66,15,"N/A","HQ","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",50.54,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Nurse Practitioner","H2014",909.66,15,"N/A","N/A","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",227.42,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Nurse Practitioner","H2015",909.66,15,"N/A","N/A","N/A","Recovery","Comprehensive community support services, 15 minutes","N/A",227.42,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Nurse Practitioner","H2017",909.66,15,"N/A","HQ","N/A","Recovery","Psychosocial rehabilitation services, 15 Minutes","N/A",50.54,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Nurse Practitioner","H2017",909.66,15,"N/A","N/A","N/A","Recovery","Psychosocial rehabilitation services, 15 Minutes","N/A",227.42,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Nurse Practitioner","H2021",909.66,15,"N/A","N/A","N/A","Treatment Planning","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",227.42,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Nurse Practitioner","H2027",909.66,15,"N/A","N/A","N/A","Treatment Planning","Psychoeducational Service, 15 minutes","N/A",227.42,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Nurse Practitioner","H2035",909.66,60,"N/A","N/A","N/A","Recovery","Alcohol and/or other drug treatment program, per hour ","N/A",909.66,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Nurse Practitioner","T1006",909.66,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or substance abuse services, family/couple counseling, 15 minutes","N/A",227.42,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Nurse Practitioner","T1007",909.66,15,"N/A","N/A","N/A","Treatment Planning","Alcohol and/or substance abuse services, treatment plan development and/or modification, 15 minutes","N/A",227.42,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Nurse Practitioner","T1013",909.66,"N/A","N/A","N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Nurse Practitioner","T1017",909.66,15,"N/A","N/A","N/A","Care Coordination","Targeted case management, 15 minutes","N/A",227.42,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Nurse Practitioner","T2021",909.66,15,"N/A","HQ","N/A","Family Therapy","Therapy substitute, 15 minutes","N/A",50.54,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Nurse Practitioner","T2021",909.66,15,"N/A","N/A","N/A","Family Therapy","Therapy substitute, 15 minutes","N/A",227.42,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Nurse Practitioner","T2021",909.66,15,"N/A",22,"N/A","Family Therapy","Therapy substitute, 15 minutes","N/A",230.43,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Nurse Practitioner","T2024",909.66,15,"N/A","N/A","N/A","Assessment","Assessment substitute, 15 minutes","N/A",227.42,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Occupational Therapist",90785,633.74,"N/A","N/A","N/A","N/A","Supplemental","Interactive complexity. There is no assigned time for this code. ","N/A",18.89,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Occupational Therapist",90882,633.74,15,"N/A","N/A","N/A","Care Coordination","Environmental intervention for medical management purposes on a psychiatric patient's behalf with agencies, employers, or institutions, 15 minutes","N/A",158.44,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Occupational Therapist",90887,633.74,50,"N/A","N/A","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",528.12,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Occupational Therapist",90889,633.74,15,"N/A","N/A","N/A","Care Coordination","Preparation of report of patient's psychiatric status, history, treatment, or progress (other than for legal or consultative purposes) for other individuals, agencies, or insurance carriers, 15 minutes","N/A",158.44,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Occupational Therapist",96160,633.74,15,"N/A","N/A","N/A","Care Coordination","Administration of patient-focused health risk assessment instrument (eg, health hazard appraisal) with scoring and documentation, per standardized instrument, 15 minutes","N/A",158.44,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Occupational Therapist",96170,633.74,30,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; initial 30 minutes","N/A",316.87,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Occupational Therapist",96171,633.74,15,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; each additional 15 minutes","N/A",158.44,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Occupational Therapist",96202,633.74,60,"N/A","N/A","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",140.83000000000001,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Occupational Therapist",96203,633.74,15,"N/A","N/A","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",35.21,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Occupational Therapist",97550,633.74,23,"N/A","N/A","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",242.93,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Occupational Therapist",97551,633.74,15,"N/A","N/A","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",158.44,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Occupational Therapist",97552,633.74,45,"N/A","N/A","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",105.62,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Occupational Therapist","G0539",633.74,23,"N/A","N/A","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",242.93,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Occupational Therapist","G0540",633.74,15,"N/A","N/A","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",158.44,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Occupational Therapist","G0541",633.74,23,"N/A","N/A","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",242.93,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Occupational Therapist","G0542",633.74,15,"N/A","N/A","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",158.44,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Occupational Therapist","G0543",633.74,45,"N/A","N/A","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",105.62,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Occupational Therapist","H0001",633.74,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug assessment, 15 minutes","N/A",158.44,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Occupational Therapist","H0004",633.74,15,"N/A","N/A","N/A","Individual Counseling","Behavioral health counseling and therapy, 15 minutes","N/A",158.44,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Occupational Therapist","H0005",633.74,15,"N/A","N/A","N/A","Group Counseling","Alcohol and/or drug services; group counseling by a clinician, 15 minutes ","N/A",35.21,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Occupational Therapist","H0007",633.74,15,"N/A","N/A","N/A","Crisis Intervention","Alcohol and/or drug services; crisis intervention (outpatient), 15 minutes","N/A",158.44,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Occupational Therapist","H0033",633.74,15,"N/A","N/A","N/A","Medication Services","Medication administration, direct observation, 15 minutes","N/A",158.44,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Occupational Therapist","H0050",633.74,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or Drug Services, brief intervention, 15 minutes","N/A",158.44,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Occupational Therapist","H2014",633.74,15,"N/A","HQ","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",35.21,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Occupational Therapist","H2014",633.74,15,"N/A","N/A","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",158.44,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Occupational Therapist","H2015",633.74,15,"N/A","N/A","N/A","Recovery","Comprehensive community support services, 15 minutes","N/A",158.44,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Occupational Therapist","H2017",633.74,15,"N/A","HQ","N/A","Recovery","Psychosocial rehabilitation services, 15 Minutes","N/A",35.21,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Occupational Therapist","H2017",633.74,15,"N/A","N/A","N/A","Recovery","Psychosocial rehabilitation services, 15 Minutes","N/A",158.44,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Occupational Therapist","H2021",633.74,15,"N/A","N/A","N/A","Treatment Planning","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",158.44,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Occupational Therapist","H2027",633.74,15,"N/A","N/A","N/A","Treatment Planning","Psychoeducational Service, 15 minutes","N/A",158.44,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Occupational Therapist","T1007",633.74,15,"N/A","N/A","N/A","Treatment Planning","Alcohol and/or substance abuse services, treatment plan development and/or modification, 15 minutes","N/A",158.44,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Occupational Therapist","T1013",633.74,"N/A","N/A","N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Occupational Therapist","T1017",633.74,15,"N/A","N/A","N/A","Care Coordination","Targeted case management, 15 minutes","N/A",158.44,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Occupational Therapist","T2024",633.74,15,"N/A","N/A","N/A","Assessment","Assessment substitute, 15 minutes","N/A",158.44,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Other Qualified Practitioner",90785,358.18,"N/A","N/A","N/A","N/A","Supplemental","Interactive complexity. There is no assigned time for this code. ","N/A",18.32,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Other Qualified Practitioner",90882,358.18,15,"N/A","N/A","N/A","Care Coordination","Environmental intervention for medical management purposes on a psychiatric patient's behalf with agencies, employers, or institutions, 15 minutes","N/A",89.55,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Other Qualified Practitioner","G0396",358.18,23,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 15-30 Minutes","N/A",137.30000000000001,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Other Qualified Practitioner","G0397",358.18,60,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 31-1440 Minutes","N/A",358.18,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Other Qualified Practitioner","G2011",358.18,10,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 5-14 Minutes","N/A",59.7,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Other Qualified Practitioner","H0001",358.18,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug assessment, 15 minutes","N/A",89.55,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Other Qualified Practitioner","H0049",358.18,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening, 15 minutes","N/A",89.55,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Other Qualified Practitioner","H0050",358.18,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or Drug Services, brief intervention, 15 minutes","N/A",89.55,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Other Qualified Practitioner","H1000",358.18,15,"N/A","N/A","N/A","Assessment","Prenatal Care, at risk assessment, 15 minutes ","N/A",89.55,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Other Qualified Practitioner","H2014",358.18,15,"N/A","HQ","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",19.899999999999999,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Other Qualified Practitioner","H2014",358.18,15,"N/A","N/A","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",89.55,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Other Qualified Practitioner","H2015",358.18,15,"N/A","N/A","N/A","Recovery","Comprehensive community support services, 15 minutes","N/A",89.55,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Other Qualified Practitioner","H2017",358.18,15,"N/A","HQ","N/A","Recovery","Psychosocial rehabilitation services, 15 Minutes","N/A",19.899999999999999,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Other Qualified Practitioner","H2017",358.18,15,"N/A","N/A","N/A","Recovery","Psychosocial rehabilitation services, 15 Minutes","N/A",89.55,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Other Qualified Practitioner","H2021",358.18,15,"N/A","N/A","N/A","Treatment Planning","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",89.55,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Other Qualified Practitioner","H2027",358.18,15,"N/A","N/A","N/A","Treatment Planning","Psychoeducational Service, 15 minutes","N/A",89.55,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Other Qualified Practitioner","H2035",358.18,60,"N/A","N/A","N/A","Recovery","Alcohol and/or other drug treatment program, per hour ","N/A",358.18,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Other Qualified Practitioner","T1013",358.18,"N/A","N/A","N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Other Qualified Practitioner","T1017",358.18,15,"N/A","N/A","N/A","Care Coordination","Targeted case management, 15 minutes","N/A",89.55,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Other Qualified Practitioner","T2024",358.18,15,"N/A","N/A","N/A","Assessment","Assessment substitute, 15 minutes","N/A",89.55,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Peer Support Specialists","H0025",376.09,15,"N/A","N/A","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",20.89,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Peer Support Specialists","H0038",376.09,15,"N/A","N/A","N/A","Peer Support","Self-help/peer services (individual), 15 minutes","N/A",94.02,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Peer Support Specialists","H0050",376.09,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or Drug Services, brief intervention, 15 minutes","N/A",94.02,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Physician Assistant",90785,820.43,"N/A","N/A","N/A","N/A","Supplemental","Interactive complexity. There is no assigned time for this code. ","N/A",18.89,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Physician Assistant",90791,820.43,60,"N/A","N/A","N/A","Assessment","Psychiatric diagnostic evaluation, 60 minutes","N/A",820.43,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Physician Assistant",90792,820.43,60,"N/A","N/A","N/A","Assessment","Psychiatric diagnostic evaluation with medical services, 60 minutes","N/A",820.43,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Physician Assistant",90846,820.43,50,"N/A","N/A","N/A","Family Therapy","Family Psychotherapy (Without the Patient Present), 50 minutes","N/A",683.69,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Physician Assistant",90847,820.43,50,"N/A","N/A","N/A","Family Therapy","Family Psychotherapy (Conjoint psychotheraphy with Patient Present), 50 minutes","N/A",683.69,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Physician Assistant",90849,820.43,84,"N/A","N/A","N/A","Family Therapy","Multiple-family group psychotherapy, 84 minutes","N/A",255.24,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Physician Assistant",90865,820.43,90,"N/A","N/A","N/A","Assessment","Nacrosynthesis for psychiatric diagnostic and therapeutic purposes (eg, sodium amobarbital (Amytal) interview), 90 minutes","N/A",1230.6500000000001,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Physician Assistant",90882,820.43,15,"N/A","N/A","N/A","Care Coordination","Environmental intervention for medical management purposes on a psychiatric patient's behalf with agencies, employers, or institutions, 15 minutes","N/A",205.11,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Physician Assistant",90885,820.43,60,"N/A","N/A","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",820.43,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Physician Assistant",90887,820.43,50,"N/A","N/A","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",683.69,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Physician Assistant",90889,820.43,15,"N/A","N/A","N/A","Care Coordination","Preparation of report of patient's psychiatric status, history, treatment, or progress (other than for legal or consultative purposes) for other individuals, agencies, or insurance carriers, 15 minutes","N/A",205.11,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Physician Assistant",96130,820.43,60,"N/A","N/A","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",820.43,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Physician Assistant",96131,820.43,60,"N/A","N/A","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",820.43,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Physician Assistant",96160,820.43,15,"N/A","N/A","N/A","Care Coordination","Administration of patient-focused health risk assessment instrument (eg, health hazard appraisal) with scoring and documentation, per standardized instrument, 15 minutes","N/A",205.11,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Physician Assistant",96170,820.43,30,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; initial 30 minutes","N/A",410.22,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Physician Assistant",96171,820.43,15,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; each additional 15 minutes","N/A",205.11,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Physician Assistant",96202,820.43,60,"N/A","N/A","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",182.32,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Physician Assistant",96203,820.43,15,"N/A","N/A","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",45.58,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Physician Assistant",97550,820.43,23,"N/A","N/A","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",314.5,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Physician Assistant",97551,820.43,15,"N/A","N/A","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",205.11,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Physician Assistant",97552,820.43,45,"N/A","N/A","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",136.74,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Physician Assistant",98966,820.43,8,"N/A","N/A","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",109.39,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Physician Assistant",98967,820.43,16,"N/A","N/A","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",218.78,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Physician Assistant",98968,820.43,26,"N/A","N/A","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",355.52,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Physician Assistant",99202,820.43,22,"N/A","N/A","N/A","Assessment","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. 15-29 minutes total time on the date of the encounter.","N/A",300.82,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Physician Assistant",99203,820.43,37,"N/A","N/A","N/A","Assessment","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. 30-44 minutes total time on the date of the encounter.","N/A",505.93,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Physician Assistant",99204,820.43,52,"N/A","N/A","N/A","Assessment","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. 45-59 minutes total time on the date of the encounter.","N/A",711.04,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Physician Assistant",99205,820.43,67,"N/A","N/A","N/A","Assessment","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. 60-74 minutes total time on the date of the encounter.","N/A",916.15,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Physician Assistant",99212,820.43,15,"N/A","N/A","N/A","Assessment","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. 10-19 minutes total time on the date of the encounter.","N/A",205.11,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Physician Assistant",99213,820.43,25,"N/A","N/A","N/A","Assessment","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. 20-29 minutes total time on the date of the encounter.","N/A",341.85,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Physician Assistant",99214,820.43,35,"N/A","N/A","N/A","Assessment","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. 30-39 minutes total time on the date of the encounter.","N/A",478.58,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Physician Assistant",99215,820.43,47,"N/A","N/A","N/A","Assessment","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. 40-54 minutes total time on the date of the encounter.","N/A",642.66999999999996,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Physician Assistant",99234,820.43,57,"N/A","N/A","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. 45-69 minutes total time on the date of the encounter.","N/A",779.41,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Physician Assistant",99235,820.43,77,"N/A","N/A","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. 70-84 minutes total time on the date of the encounter.","N/A",1052.8900000000001,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Physician Assistant",99236,820.43,92,"N/A","N/A","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. 85-99 minutes total time on the date of the encounter.","N/A",1257.99,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Physician Assistant",99238,820.43,30,"N/A","N/A","N/A","Discharge","Hospital inpatient or observation discharge day management; 30 minutes or less on the date of the encounter","N/A",410.22,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Physician Assistant",99239,820.43,60,"N/A","N/A","N/A","Discharge","Hospital inpatient or observation discharge day management; 30-1440 minutes on the date of the encounter","N/A",820.43,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Physician Assistant",99304,820.43,30,"N/A","N/A","N/A","Assessment","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. 25-34 minutes total time on the date of the encounter.","N/A",410.22,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Physician Assistant",99305,820.43,42,"N/A","N/A","N/A","Assessment","\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. 35-49 minutes total time on the date of the encounter.","N/A",574.29999999999995,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Physician Assistant",99306,820.43,57,"N/A","N/A","N/A","Assessment","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. 50-64 minutes total time on the date of the encounter.","N/A",779.41,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Physician Assistant",99307,820.43,15,"N/A","N/A","N/A","Assessment","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. 10-19 minutes total time on the date of the encounter for code selection.","N/A",205.11,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Physician Assistant",99308,820.43,25,"N/A","N/A","N/A","Assessment","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. 20-29 minutes total time on the date of the encounter.","N/A",341.85,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Physician Assistant",99309,820.43,37,"N/A","N/A","N/A","Assessment","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. 30-44 minutes total time on the date of the encounter.\t","N/A",505.93,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Physician Assistant",99310,820.43,52,"N/A","N/A","N/A","Assessment","\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. 45-59 minutes total time on the date of the encounter.","N/A",711.04,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Physician Assistant",99341,820.43,22,"N/A","N/A","N/A","Assessment","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. 15-29 minutes total time on the date of the encounter.","N/A",300.82,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Physician Assistant",99342,820.43,45,"N/A","N/A","N/A","Assessment","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. 30-59 minutes total time on the date of the encounter.","N/A",615.32000000000005,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Physician Assistant",99344,820.43,67,"N/A","N/A","N/A","Assessment","\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. 60-74 minutes total time on the date of the encounter.","N/A",916.15,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Physician Assistant",99345,820.43,82,"N/A","N/A","N/A","Assessment","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. 75-89 minutes total time on the date of the encounter.","N/A",1121.25,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Physician Assistant",99347,820.43,25,"N/A","N/A","N/A","Assessment","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. 20-29 minutes total time on the date of the encounter.","N/A",341.85,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Physician Assistant",99348,820.43,35,"N/A","N/A","N/A","Assessment","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. 30-39 minutes total time on the date of the encounter.","N/A",478.58,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Physician Assistant",99349,820.43,50,"N/A","N/A","N/A","Assessment","\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. 40-59 minutes total time on the date of the encounter.","N/A",683.69,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Physician Assistant",99350,820.43,67,"N/A","N/A","N/A","Assessment","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. 60-74 minutes total time on the date of the encounter.","N/A",916.15,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Physician Assistant",99368,820.43,60,"N/A","N/A","N/A","Care Coordination","Medical team conference with interdisciplinary team of health care professionals, patient and/or family not present, 30-1440 minutes; participation by nonphysician qualified health care professional","N/A",820.43,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Physician Assistant",99408,820.43,23,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or substance (other than tobacco) abuse structural screening (eg, AUDIT ,DAST), and brief intervention (SBI) services. 15-30 minutes. ","N/A",314.5,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Physician Assistant",99409,820.43,60,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or substance (other than tobacco) abuse structural screening (eg, AUDIT ,DAST), and brief intervention (SBI) services. 31-1440 minutes. ","N/A",820.43,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Physician Assistant",99415,820.43,60,"N/A","N/A","N/A","Assessment","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",820.43,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Physician Assistant",99416,820.43,30,"N/A","N/A","N/A","Assessment","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",410.22,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Physician Assistant",99417,820.43,15,"N/A","N/A","N/A","Assessment","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 (This code does not follow the midpoint rule. A  full 15 minutes must be met before one unit of 99417 can be claimed).","N/A",205.11,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Physician Assistant",99418,820.43,15,"N/A","N/A","N/A","Assessment","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 (This code does not follow the midpoint rule. A full 15 minutes must be met before one unit of 99418 can be claimed).","N/A",205.11,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Physician Assistant",99424,820.43,30,"N/A","N/A","N/A","Care Coordination","Principal care management services, for a single high-risk disease, first 30 minutes provided personally by a physician or other qualified health care professional, per calendar month. At least 30 minutes of service must be provided before 1 unit of this code can be reported.","N/A",410.22,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Physician Assistant",99425,820.43,30,"N/A","N/A","N/A","Care Coordination","Principal care management services, for a single high-risk disease, each additional 30 minutes provided personally by a physician or other qualified health care professional, per calendar month. Code 99425 is reported in conjunction with 99424, when at least an additional 30 minutes of service time is provided beyond 99424.","N/A",410.22,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Physician Assistant",99437,820.43,30,"N/A","N/A","N/A","Care Coordination","Chronic care management services, each additional 30 minutes by a physician or other qualified health care professional, per calendar month. Code 99437 is reported in conjunction with 99491, when at least an additional 30 minutes of service time is provided beyond 99491.","N/A",410.22,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Physician Assistant",99441,820.43,8,"N/A","N/A","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",109.39,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Physician Assistant",99442,820.43,16,"N/A","N/A","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",218.78,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Physician Assistant",99443,820.43,26,"N/A","N/A","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",355.52,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Physician Assistant",99491,820.43,30,"N/A","N/A","N/A","Care Coordination","Chronic care management services, first 30 minutes provided personally by a physician or other qualified health care professional, per calendar month. At least 30 minutes of service must be provided before 1 unit of this code can be reported.","N/A",410.22,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Physician Assistant",99495,820.43,54,"N/A","N/A","N/A","Discharge","Transitional Care Management Services with the following required elements: Communication (direct contact, telephone, electronic) with the patient and/or caregiver within 2 business days of discharge. Medical decision making of at least moderate complexity during the service period, face-to-face visit within 14 calendar days of discharge, 54 minutes","N/A",738.39,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Physician Assistant",99496,820.43,75,"N/A","N/A","N/A","Discharge","Transitional Care Management Services with the following required elements: Communication (direct contact, telephone, electronic) with the patient and/or caregiver within 2 business days of discharge. Medical decision making of high complexity during the service period, face-to-face visit within 7 calendar days of discharge, 75 minutes","N/A",1025.54,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Physician Assistant","G0316",820.43,15,"N/A","N/A","N/A","Assessment","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",205.11,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Physician Assistant","G0396",820.43,23,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 15-30 Minutes","N/A",314.5,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Physician Assistant","G0397",820.43,60,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 31-1440 Minutes","N/A",820.43,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Physician Assistant","G0539",820.43,23,"N/A","N/A","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",314.5,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Physician Assistant","G0540",820.43,15,"N/A","N/A","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",205.11,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Physician Assistant","G0541",820.43,23,"N/A","N/A","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",314.5,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Physician Assistant","G0542",820.43,15,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Physician Assistant","G0543",820.43,45,"N/A","N/A","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",136.74,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Physician Assistant","G2011",820.43,10,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 5-14 Minutes","N/A",136.74,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Physician Assistant","H0001",820.43,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug assessment, 15 minutes","N/A",205.11,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Physician Assistant","H0003",820.43,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening. Laboratory analysis of specimens for presence of alcohol and/or drugs, 15 minutes","N/A",205.11,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Physician Assistant","H0004",820.43,15,"N/A","N/A","N/A","Individual Counseling","Behavioral health counseling and therapy, 15 minutes","N/A",205.11,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Physician Assistant","H0005",820.43,15,"N/A","N/A","N/A","Group Counseling","Alcohol and/or drug services; group counseling by a clinician, 15 minutes ","N/A",45.58,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Physician Assistant","H0007",820.43,15,"N/A","N/A","N/A","Crisis Intervention","Alcohol and/or drug services; crisis intervention (outpatient), 15 minutes","N/A",205.11,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Physician Assistant","H0008",820.43,15,"N/A","N/A","N/A","Recovery","Alcohol and/or drug services: (hospital inpatient) Subacute detoxification, 15 minutes","N/A",205.11,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Physician Assistant","H0009",820.43,15,"N/A","N/A","N/A","Recovery","Alcohol and/or drug services:  (hospital inpatient) Acute detoxification, 15 minutes","N/A",205.11,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Physician Assistant","H0033",820.43,15,"N/A","N/A","N/A","Medication Services","Medication administration, direct observation, 15 minutes","N/A",205.11,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Physician Assistant","H0034",820.43,15,"N/A","HQ","N/A","Medication Services","Medication training and support, 15 minutes","N/A",45.58,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Physician Assistant","H0034",820.43,15,"N/A","N/A","N/A","Medication Services","Medication training and support, 15 minutes","N/A",205.11,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Physician Assistant","H0048",820.43,15,"N/A","N/A","N/A","Assessment","Alcohol and/or other drug testing. Collection and handling only, specimens other than blood, 15 minutes","N/A",205.11,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Physician Assistant","H0049",820.43,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening, 15 minutes","N/A",205.11,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Physician Assistant","H0050",820.43,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or Drug Services, brief intervention, 15 minutes","N/A",205.11,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Physician Assistant","H1000",820.43,15,"N/A","N/A","N/A","Assessment","Prenatal Care, at risk assessment, 15 minutes ","N/A",205.11,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Physician Assistant","H2014",820.43,15,"N/A","HQ","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",45.58,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Physician Assistant","H2014",820.43,15,"N/A","N/A","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",205.11,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Physician Assistant","H2015",820.43,15,"N/A","N/A","N/A","Recovery","Comprehensive community support services, 15 minutes","N/A",205.11,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Physician Assistant","H2017",820.43,15,"N/A","HQ","N/A","Recovery","Psychosocial rehabilitation services, 15 Minutes","N/A",45.58,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Physician Assistant","H2017",820.43,15,"N/A","N/A","N/A","Recovery","Psychosocial rehabilitation services, 15 Minutes","N/A",205.11,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Physician Assistant","H2021",820.43,15,"N/A","N/A","N/A","Treatment Planning","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",205.11,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Physician Assistant","H2027",820.43,15,"N/A","N/A","N/A","Treatment Planning","Psychoeducational Service, 15 minutes","N/A",205.11,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Physician Assistant","H2035",820.43,60,"N/A","N/A","N/A","Recovery","Alcohol and/or other drug treatment program, per hour ","N/A",820.43,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Physician Assistant","T1006",820.43,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or substance abuse services, family/couple counseling, 15 minutes","N/A",205.11,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Physician Assistant","T1007",820.43,15,"N/A","N/A","N/A","Treatment Planning","Alcohol and/or substance abuse services, treatment plan development and/or modification, 15 minutes","N/A",205.11,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Physician Assistant","T1013",820.43,"N/A","N/A","N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Physician Assistant","T1017",820.43,15,"N/A","N/A","N/A","Care Coordination","Targeted case management, 15 minutes","N/A",205.11,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Physician Assistant","T2021",820.43,15,"N/A","HQ","N/A","Family Therapy","Therapy substitute, 15 minutes","N/A",45.58,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Physician Assistant","T2021",820.43,15,"N/A","N/A","N/A","Family Therapy","Therapy substitute, 15 minutes","N/A",205.11,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Physician Assistant","T2021",820.43,15,"N/A",22,"N/A","Family Therapy","Therapy substitute, 15 minutes","N/A",208.12,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Physician Assistant","T2024",820.43,15,"N/A","N/A","N/A","Assessment","Assessment substitute, 15 minutes","N/A",205.11,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Psychologist (Licensed or Waivered)",90785,735.68,"N/A","N/A","N/A","N/A","Supplemental","Interactive complexity. There is no assigned time for this code. ","N/A",18.89,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Psychologist (Licensed or Waivered)",90791,735.68,60,"N/A","N/A","N/A","Assessment","Psychiatric diagnostic evaluation, 60 minutes","N/A",735.68,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Psychologist (Licensed or Waivered)",90846,735.68,50,"N/A","N/A","N/A","Family Therapy","Family Psychotherapy (Without the Patient Present), 50 minutes","N/A",613.07000000000005,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Psychologist (Licensed or Waivered)",90847,735.68,50,"N/A","N/A","N/A","Family Therapy","Family Psychotherapy (Conjoint psychotheraphy with Patient Present), 50 minutes","N/A",613.07000000000005,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Psychologist (Licensed or Waivered)",90849,735.68,84,"N/A","N/A","N/A","Family Therapy","Multiple-family group psychotherapy, 84 minutes","N/A",228.88,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Psychologist (Licensed or Waivered)",90882,735.68,15,"N/A","N/A","N/A","Care Coordination","Environmental intervention for medical management purposes on a psychiatric patient's behalf with agencies, employers, or institutions, 15 minutes","N/A",183.92,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Psychologist (Licensed or Waivered)",90885,735.68,60,"N/A","N/A","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",735.68,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Psychologist (Licensed or Waivered)",90887,735.68,50,"N/A","N/A","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",613.07000000000005,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Psychologist (Licensed or Waivered)",90889,735.68,15,"N/A","N/A","N/A","Care Coordination","Preparation of report of patient's psychiatric status, history, treatment, or progress (other than for legal or consultative purposes) for other individuals, agencies, or insurance carriers, 15 minutes","N/A",183.92,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Psychologist (Licensed or Waivered)",96130,735.68,60,"N/A","N/A","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",735.68,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Psychologist (Licensed or Waivered)",96131,735.68,60,"N/A","N/A","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",735.68,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Psychologist (Licensed or Waivered)",96160,735.68,15,"N/A","N/A","N/A","Care Coordination","Administration of patient-focused health risk assessment instrument (eg, health hazard appraisal) with scoring and documentation, per standardized instrument, 15 minutes","N/A",183.92,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Psychologist (Licensed or Waivered)",96170,735.68,30,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; initial 30 minutes","N/A",367.84,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Psychologist (Licensed or Waivered)",96171,735.68,15,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; each additional 15 minutes","N/A",183.92,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Psychologist (Licensed or Waivered)",96202,735.68,60,"N/A","N/A","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",163.47999999999999,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Psychologist (Licensed or Waivered)",96203,735.68,15,"N/A","N/A","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,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Psychologist (Licensed or Waivered)",97550,735.68,23,"N/A","N/A","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",282.01,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Psychologist (Licensed or Waivered)",97551,735.68,15,"N/A","N/A","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",183.92,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Psychologist (Licensed or Waivered)",97552,735.68,45,"N/A","N/A","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",122.61,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Psychologist (Licensed or Waivered)",98966,735.68,8,"N/A","N/A","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",98.09,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Psychologist (Licensed or Waivered)",98967,735.68,16,"N/A","N/A","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",196.18,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Psychologist (Licensed or Waivered)",98968,735.68,26,"N/A","N/A","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",318.79000000000002,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Psychologist (Licensed or Waivered)",99368,735.68,60,"N/A","N/A","N/A","Care Coordination","Medical team conference with interdisciplinary team of health care professionals, patient and/or family not present, 30-1440 minutes; participation by nonphysician qualified health care professional","N/A",735.68,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Psychologist (Licensed or Waivered)","G0323",735.68,60,"N/A","N/A","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",735.68,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Psychologist (Licensed or Waivered)","G0396",735.68,23,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 15-30 Minutes","N/A",282.01,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Psychologist (Licensed or Waivered)","G0397",735.68,60,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 31-1440 Minutes","N/A",735.68,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Psychologist (Licensed or Waivered)","G0539",735.68,23,"N/A","N/A","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",282.01,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Psychologist (Licensed or Waivered)","G0540",735.68,15,"N/A","N/A","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",183.92,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Psychologist (Licensed or Waivered)","G0541",735.68,23,"N/A","N/A","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",282.01,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Psychologist (Licensed or Waivered)","G0542",735.68,15,"N/A","N/A","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",183.92,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Psychologist (Licensed or Waivered)","G0543",735.68,45,"N/A","N/A","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",122.61,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Psychologist (Licensed or Waivered)","G2011",735.68,10,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 5-14 Minutes","N/A",122.61,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Psychologist (Licensed or Waivered)","H0001",735.68,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug assessment, 15 minutes","N/A",183.92,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Psychologist (Licensed or Waivered)","H0003",735.68,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening. Laboratory analysis of specimens for presence of alcohol and/or drugs, 15 minutes","N/A",183.92,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Psychologist (Licensed or Waivered)","H0004",735.68,15,"N/A","N/A","N/A","Individual Counseling","Behavioral health counseling and therapy, 15 minutes","N/A",183.92,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Psychologist (Licensed or Waivered)","H0005",735.68,15,"N/A","N/A","N/A","Group Counseling","Alcohol and/or drug services; group counseling by a clinician, 15 minutes ","N/A",40.869999999999997,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Psychologist (Licensed or Waivered)","H0007",735.68,15,"N/A","N/A","N/A","Crisis Intervention","Alcohol and/or drug services; crisis intervention (outpatient), 15 minutes","N/A",183.92,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Psychologist (Licensed or Waivered)","H0049",735.68,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening, 15 minutes","N/A",183.92,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Psychologist (Licensed or Waivered)","H0050",735.68,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or Drug Services, brief intervention, 15 minutes","N/A",183.92,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Psychologist (Licensed or Waivered)","H1000",735.68,15,"N/A","N/A","N/A","Assessment","Prenatal Care, at risk assessment, 15 minutes ","N/A",183.92,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Psychologist (Licensed or Waivered)","H2014",735.68,15,"N/A","HQ","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",40.869999999999997,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Psychologist (Licensed or Waivered)","H2014",735.68,15,"N/A","N/A","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",183.92,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Psychologist (Licensed or Waivered)","H2027",735.68,15,"N/A","N/A","N/A","Treatment Planning","Psychoeducational Service, 15 minutes","N/A",183.92,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Psychologist (Licensed or Waivered)","H2035",735.68,60,"N/A","N/A","N/A","Recovery","Alcohol and/or other drug treatment program, per hour ","N/A",735.68,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Psychologist (Licensed or Waivered)","T1006",735.68,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or substance abuse services, family/couple counseling, 15 minutes","N/A",183.92,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Psychologist (Licensed or Waivered)","T1007",735.68,15,"N/A","N/A","N/A","Treatment Planning","Alcohol and/or substance abuse services, treatment plan development and/or modification, 15 minutes","N/A",183.92,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Psychologist (Licensed or Waivered)","T1013",735.68,"N/A","N/A","N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Psychologist (Licensed or Waivered)","T1017",735.68,15,"N/A","N/A","N/A","Care Coordination","Targeted case management, 15 minutes","N/A",183.92,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Psychologist (Licensed or Waivered)","T2021",735.68,15,"N/A","HQ","N/A","Family Therapy","Therapy substitute, 15 minutes","N/A",40.869999999999997,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Psychologist (Licensed or Waivered)","T2021",735.68,15,"N/A","N/A","N/A","Family Therapy","Therapy substitute, 15 minutes","N/A",183.92,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Psychologist (Licensed or Waivered)","T2021",735.68,15,"N/A",22,"N/A","Family Therapy","Therapy substitute, 15 minutes","N/A",186.93,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Psychologist (Licensed or Waivered)","T2024",735.68,15,"N/A","N/A","N/A","Assessment","Assessment substitute, 15 minutes","N/A",183.92,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Registered Nurse",90785,743.04,"N/A","N/A","N/A","N/A","Supplemental","Interactive complexity. There is no assigned time for this code. ","N/A",18.89,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Registered Nurse",90882,743.04,15,"N/A","N/A","N/A","Care Coordination","Environmental intervention for medical management purposes on a psychiatric patient's behalf with agencies, employers, or institutions, 15 minutes","N/A",185.76,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Registered Nurse",90887,743.04,50,"N/A","N/A","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",619.20000000000005,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Registered Nurse",90889,743.04,15,"N/A","N/A","N/A","Care Coordination","Preparation of report of patient's psychiatric status, history, treatment, or progress (other than for legal or consultative purposes) for other individuals, agencies, or insurance carriers, 15 minutes","N/A",185.76,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Registered Nurse",96160,743.04,15,"N/A","N/A","N/A","Care Coordination","Administration of patient-focused health risk assessment instrument (eg, health hazard appraisal) with scoring and documentation, per standardized instrument, 15 minutes","N/A",185.76,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Registered Nurse",96170,743.04,30,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; initial 30 minutes","N/A",371.52,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Registered Nurse",96171,743.04,15,"N/A","N/A","N/A","Supplemental","Health behavior intervention, family (without the patient present), face-to-face; each additional 15 minutes","N/A",185.76,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Registered Nurse",96202,743.04,60,"N/A","N/A","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",165.12,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Registered Nurse",96203,743.04,15,"N/A","N/A","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",41.28,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Registered Nurse",97550,743.04,23,"N/A","N/A","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",284.83,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Registered Nurse",97551,743.04,15,"N/A","N/A","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",185.76,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Registered Nurse",97552,743.04,45,"N/A","N/A","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",123.84,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Registered Nurse",99238,743.04,30,"N/A","N/A","N/A","Discharge","Hospital inpatient or observation discharge day management; 30 minutes or less on the date of the encounter","N/A",371.52,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Registered Nurse",99239,743.04,60,"N/A","N/A","N/A","Discharge","Hospital inpatient or observation discharge day management; 30-1440 minutes on the date of the encounter","N/A",743.04,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Registered Nurse",99368,743.04,60,"N/A","N/A","N/A","Care Coordination","Medical team conference with interdisciplinary team of health care professionals, patient and/or family not present, 30-1440 minutes; participation by nonphysician qualified health care professional","N/A",743.04,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Registered Nurse",99424,743.04,30,"N/A","N/A","N/A","Care Coordination","Principal care management services, for a single high-risk disease, first 30 minutes provided personally by a physician or other qualified health care professional, per calendar month. At least 30 minutes of service must be provided before 1 unit of this code can be reported.","N/A",371.52,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Registered Nurse",99425,743.04,30,"N/A","N/A","N/A","Care Coordination","Principal care management services, for a single high-risk disease, each additional 30 minutes provided personally by a physician or other qualified health care professional, per calendar month. Code 99425 is reported in conjunction with 99424, when at least an additional 30 minutes of service time is provided beyond 99424.","N/A",371.52,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Registered Nurse",99437,743.04,30,"N/A","N/A","N/A","Care Coordination","Chronic care management services, each additional 30 minutes by a physician or other qualified health care professional, per calendar month. Code 99437 is reported in conjunction with 99491, when at least an additional 30 minutes of service time is provided beyond 99491.","N/A",371.52,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Registered Nurse",99491,743.04,30,"N/A","N/A","N/A","Care Coordination","Chronic care management services, first 30 minutes provided personally by a physician or other qualified health care professional, per calendar month. At least 30 minutes of service must be provided before 1 unit of this code can be reported.","N/A",371.52,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Registered Nurse","G0396",743.04,23,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 15-30 Minutes","N/A",284.83,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Registered Nurse","G0397",743.04,60,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 31-1440 Minutes","N/A",743.04,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Registered Nurse","G0539",743.04,23,"N/A","N/A","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",284.83,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Registered Nurse","G0540",743.04,15,"N/A","N/A","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",185.76,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Registered Nurse","G0541",743.04,23,"N/A","N/A","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",284.83,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Registered Nurse","G0542",743.04,15,"N/A","N/A","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",185.76,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Registered Nurse","G0543",743.04,45,"N/A","N/A","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",123.84,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Registered Nurse","G2011",743.04,10,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 5-14 Minutes","N/A",123.84,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Registered Nurse","H0001",743.04,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug assessment, 15 minutes","N/A",185.76,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Registered Nurse","H0003",743.04,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening. Laboratory analysis of specimens for presence of alcohol and/or drugs, 15 minutes","N/A",185.76,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Registered Nurse","H0004",743.04,15,"N/A","N/A","N/A","Individual Counseling","Behavioral health counseling and therapy, 15 minutes","N/A",185.76,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Registered Nurse","H0005",743.04,15,"N/A","N/A","N/A","Group Counseling","Alcohol and/or drug services; group counseling by a clinician, 15 minutes ","N/A",41.28,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Registered Nurse","H0007",743.04,15,"N/A","N/A","N/A","Crisis Intervention","Alcohol and/or drug services; crisis intervention (outpatient), 15 minutes","N/A",185.76,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Registered Nurse","H0008",743.04,15,"N/A","N/A","N/A","Recovery","Alcohol and/or drug services: (hospital inpatient) Subacute detoxification, 15 minutes","N/A",185.76,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Registered Nurse","H0009",743.04,15,"N/A","N/A","N/A","Recovery","Alcohol and/or drug services:  (hospital inpatient) Acute detoxification, 15 minutes","N/A",185.76,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Registered Nurse","H0033",743.04,15,"N/A","N/A","N/A","Medication Services","Medication administration, direct observation, 15 minutes","N/A",185.76,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Registered Nurse","H0034",743.04,15,"N/A","HQ","N/A","Medication Services","Medication training and support, 15 minutes","N/A",41.28,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Registered Nurse","H0034",743.04,15,"N/A","N/A","N/A","Medication Services","Medication training and support, 15 minutes","N/A",185.76,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Registered Nurse","H0048",743.04,15,"N/A","N/A","N/A","Assessment","Alcohol and/or other drug testing. Collection and handling only, specimens other than blood, 15 minutes","N/A",185.76,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Registered Nurse","H0049",743.04,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening, 15 minutes","N/A",185.76,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Registered Nurse","H0050",743.04,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or Drug Services, brief intervention, 15 minutes","N/A",185.76,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Registered Nurse","H1000",743.04,15,"N/A","N/A","N/A","Assessment","Prenatal Care, at risk assessment, 15 minutes ","N/A",185.76,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Registered Nurse","H2014",743.04,15,"N/A","HQ","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",41.28,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Registered Nurse","H2014",743.04,15,"N/A","N/A","N/A","Treatment Planning","Skills training and development, 15 minutes","N/A",185.76,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Registered Nurse","H2015",743.04,15,"N/A","N/A","N/A","Recovery","Comprehensive community support services, 15 minutes","N/A",185.76,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Registered Nurse","H2021",743.04,15,"N/A","N/A","N/A","Treatment Planning","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",185.76,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Registered Nurse","T1006",743.04,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or substance abuse services, family/couple counseling, 15 minutes","N/A",185.76,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Registered Nurse","T1007",743.04,15,"N/A","N/A","N/A","Treatment Planning","Alcohol and/or substance abuse services, treatment plan development and/or modification, 15 minutes","N/A",185.76,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Registered Nurse","T1013",743.04,"N/A","N/A","N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Registered Nurse","T1017",743.04,15,"N/A","N/A","N/A","Care Coordination","Targeted case management, 15 minutes","N/A",185.76,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Registered Nurse","T2024",743.04,15,"N/A","N/A","N/A","Assessment","Assessment substitute, 15 minutes","N/A",185.76,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Registered Pharmacist",90785,875.64,"N/A","N/A","N/A","N/A","Supplemental","Interactive complexity. There is no assigned time for this code. ","N/A",18.89,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Registered Pharmacist",90887,875.64,50,"N/A","N/A","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",729.7,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Registered Pharmacist",96202,875.64,60,"N/A","N/A","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",194.59,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Registered Pharmacist",96203,875.64,15,"N/A","N/A","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",48.65,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Registered Pharmacist",97550,875.64,23,"N/A","N/A","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",335.66,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Registered Pharmacist",97551,875.64,15,"N/A","N/A","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",218.91,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Registered Pharmacist",97552,875.64,45,"N/A","N/A","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",145.94,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Registered Pharmacist",99368,875.64,60,"N/A","N/A","N/A","Care Coordination","Medical team conference with interdisciplinary team of health care professionals, patient and/or family not present, 30-1440 minutes; participation by nonphysician qualified health care professional","N/A",875.64,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Registered Pharmacist","G0396",875.64,23,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 15-30 Minutes","N/A",335.66,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Registered Pharmacist","G0397",875.64,60,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 31-1440 Minutes","N/A",875.64,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Registered Pharmacist","G0539",875.64,23,"N/A","N/A","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",335.66,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Registered Pharmacist","G0540",875.64,15,"N/A","N/A","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",218.91,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Registered Pharmacist","G0541",875.64,23,"N/A","N/A","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",335.66,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Registered Pharmacist","G0542",875.64,15,"N/A","N/A","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",218.91,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Registered Pharmacist","G0543",875.64,45,"N/A","N/A","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",145.94,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Registered Pharmacist","G2011",875.64,10,"N/A","N/A","N/A","Assessment","Alcohol and/or substance (other than tobacco) abuse structured assessment, 5-14 Minutes","N/A",145.94,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Registered Pharmacist","H0001",875.64,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug assessment, 15 minutes","N/A",218.91,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Registered Pharmacist","H0003",875.64,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening. Laboratory analysis of specimens for presence of alcohol and/or drugs, 15 minutes","N/A",218.91,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Registered Pharmacist","H0008",875.64,15,"N/A","N/A","N/A","Recovery","Alcohol and/or drug services: (hospital inpatient) Subacute detoxification, 15 minutes","N/A",218.91,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Registered Pharmacist","H0009",875.64,15,"N/A","N/A","N/A","Recovery","Alcohol and/or drug services:  (hospital inpatient) Acute detoxification, 15 minutes","N/A",218.91,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Registered Pharmacist","H0033",875.64,15,"N/A","N/A","N/A","Medication Services","Medication administration, direct observation, 15 minutes","N/A",218.91,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Registered Pharmacist","H0034",875.64,15,"N/A","HQ","N/A","Medication Services","Medication training and support, 15 minutes","N/A",48.65,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Registered Pharmacist","H0034",875.64,15,"N/A","N/A","N/A","Medication Services","Medication training and support, 15 minutes","N/A",218.91,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Registered Pharmacist","H0048",875.64,15,"N/A","N/A","N/A","Assessment","Alcohol and/or other drug testing. Collection and handling only, specimens other than blood, 15 minutes","N/A",218.91,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Registered Pharmacist","H0049",875.64,15,"N/A","N/A","N/A","Assessment","Alcohol and/or drug screening, 15 minutes","N/A",218.91,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Registered Pharmacist","H0050",875.64,15,"N/A","N/A","N/A","Individual Counseling","Alcohol and/or Drug Services, brief intervention, 15 minutes","N/A",218.91,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Registered Pharmacist","H1000",875.64,15,"N/A","N/A","N/A","Assessment","Prenatal Care, at risk assessment, 15 minutes ","N/A",218.91,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Registered Pharmacist","H2017",875.64,15,"N/A","HQ","N/A","Recovery","Psychosocial rehabilitation services, 15 Minutes","N/A",48.65,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Registered Pharmacist","H2017",875.64,15,"N/A","N/A","N/A","Recovery","Psychosocial rehabilitation services, 15 Minutes","N/A",218.91,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Registered Pharmacist","H2021",875.64,15,"N/A","N/A","N/A","Treatment Planning","Community-based wrap-around services (coordination with other programs),15 minutes","N/A",218.91,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Registered Pharmacist","H2035",875.64,60,"N/A","N/A","N/A","Recovery","Alcohol and/or other drug treatment program, per hour ","N/A",875.64,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Registered Pharmacist","T1013",875.64,"N/A","N/A","N/A","N/A","Supplemental","Sign language or oral interpretive services, 15 minutes","N/A",31.88,"N/A","2025-07-01","2026-06-30"]
[57,"Yolo","Registered Pharmacist","T1017",875.64,15,"N/A","N/A","N/A","Care Coordination","Targeted case management, 15 minutes","N/A",218.91,"N/A","2025-07-01","2026-06-30"]

{"sheet":"Updates","index":1,"n_rows":59,"n_cols":5,"rows_kept":59,"cut":false,"hidden":false,"merged":[]}
["Press UP, DOWN, LEFT RIGHT arrows in Column A to read through document. Document ordered by the county code in column A smallest to largest. Headers contain filters buttons"]
["Date","Program","CPT","Action","Notes"]
["2024-10-22","ODS","H0050","Added","For all Provider Types except Medical Assistant Community Health Worker "]
["2024-10-22","ODS",90832,"Removed","For all Provider Types "]
["2024-10-22","ODS",90833,"Removed","For all Provider Types "]
["2024-10-22","ODS",90834,"Removed","For all Provider Types "]
["2024-10-22","ODS",90836,"Removed","For all Provider Types "]
["2024-10-22","ODS",90837,"Removed","For all Provider Types "]
["2024-10-22","ODS",90838,"Removed","For all Provider Types "]
["2024-10-22","ODS",90846,"Corrected Rate","Time associated changed for all eligible PTs "]
["2024-10-22","ODS",90847,"Corrected Rate","Time associated changed for all eligible PTs "]
["2024-10-22","ODS",90792,"Removed ","Removed from other PT. Applies to PT Psychiatrist, Physician Assistant, Nurse Practitioner "]
["2024-10-22","ODS","G0396","Added","Added rate for Other Qualified Practitioner for CPT Code "]
["2024-10-22","ODS","G0397","Added","Added rate for Other Qualified Practitioner for CPT Code "]
["2024-10-22","ODS","G2011","Added","Added rate for Other Qualified Practitioner for CPT Code "]
["2024-10-22","ODS","H0001","Added","Added rate for Other Qualified Practitioner for CPT Code "]
["2024-10-22","ODS","H0049","Added","Added rate for Other Qualified Practitioner for CPT Code "]
["2024-10-22","ODS","H0050","Added","Added six additional provider types LCSW (Licensed, Waivered or Registered), Licensed Physician, MFT/LPCC (Licensed, Waivered or Registered), Nurse Practitioner, Physician Assistant, Psychologist (Licensed or Waivered) "]
["2024-10-22","ODS","H1000","Added","Added rate for Other Qualified Practitioner for CPT Code "]
["2024-10-22","ODS","H2014","Added","Added rate for Other Qualified Practitioner for CPT Code "]
["2024-10-22","ODS","H2015","Added","Added rate for Other Qualified Practitioner for CPT Code "]
["2024-10-22","ODS","H2017","Added","Added rate for Other Qualified Practitioner for CPT Code "]
["2024-10-22","ODS","H2021","Added","Added rate for Other Qualified Practitioner for CPT Code "]
["2024-10-22","ODS","H2027","Added","Added rate for Other Qualified Practitioner for CPT Code "]
["2024-10-22","ODS","H2035","Added","Added rate for Other Qualified Practitioner for CPT Code "]
["2024-10-22","ODS","T1013","Added","Added rate for Other Qualified Practitioner for CPT Code "]
["2024-10-22","ODS","T1017","Added","Added rate for Other Qualified Practitioner for CPT Code "]
["2024-10-22","ODS","T2021","Added ","Added Modifier 22 for six provider types LCSW (Licensed, Waivered or Registered), Licensed Physician, MFT/LPCC (Licensed, Waivered or Registered), Nurse Practitioner, Physician Assistant, Psychologist (Licensed or Waivered) "]
["2024-10-22","ODS","T2024","Added","Added rate for Other Qualified Practitioner for CPT Code "]
["2024-11-01","ODS","H0036","Removed","Functional Family Therapy service for this CPT/HCPCS code not yet approved by DHCS/CMS."]
["2025-01-02","ODS","98960 - 90862","Added","Added rate for provider type Community Health Worker for CPT Code "]
["2025-02-10","ODS","H0003","Added","Beginning fiscal year 2025/26 MHPs may claim for services under provider type Psychologist "]
["2025-02-10","ODS","H2021","Added","Beginning fiscal year 2025/26 MHPs may claim for services under provider type Registered Nurse"]
["2025-02-10","ODS","T1017","Added","Beginning fiscal year 2025/26 MHPs may claim for services under provider type Nurse Practitioner"]
["2025-02-10","ODS","G0323","Added","Beginning fiscal year 2025/26 MHPs may claim for services under the following provider types: Physician Assistant, Pharmacist, Psychologist (Licensed or Waivered), LPHA (LMFT, LCSW & LPCC)/Intern or Waivered LPHA (LMFT, LCSW & LPCC), Registered Nurse, Nurse Practitioner, Licensed Occupational Therapist, LVN, Licensed Psychiatric Technician"]
["2025-02-10","ODS",97550,"Added","Beginning fiscal year 2025/26 MHPs may claim for services under the following provider types: Psychiatrist/ Contracted Psychiatrist, Physician Assistant, Pharmacist, Psychologist (Licensed or Waivered), LPHA (LMFT, LCSW & LPCC)/Intern or Waivered LPHA (LMFT, LCSW & LPCC), Registered Nurse, Nurse Practitioner, Licensed Occupational Therapist, LVN, Licensed Psychiatric Technician"]
["2025-02-10","ODS",97551,"Added","Beginning fiscal year 2025/26 MHPs may claim for services under the following provider types: Psychiatrist/ Contracted Psychiatrist, Physician Assistant, Pharmacist, Psychologist (Licensed or Waivered), LPHA (LMFT, LCSW & LPCC)/Intern or Waivered LPHA (LMFT, LCSW & LPCC), Registered Nurse, Nurse Practitioner, Licensed Occupational Therapist, LVN, Licensed Psychiatric Technician"]
["2025-02-10","ODS",97552,"Added","Beginning fiscal year 2025/26 MHPs may claim for services under the following provider types: Psychiatrist/ Contracted Psychiatrist, Physician Assistant, Pharmacist, Psychologist (Licensed or Waivered), LPHA (LMFT, LCSW & LPCC)/Intern or Waivered LPHA (LMFT, LCSW & LPCC), Registered Nurse, Nurse Practitioner, Licensed Occupational Therapist, LVN, Licensed Psychiatric Technician"]
["2025-02-10","ODS",96202,"Added","Beginning fiscal year 2025/26 MHPs may claim for services under the following provider types: Psychiatrist/ Contracted Psychiatrist, Physician Assistant, Pharmacist, Psychologist (Licensed or Waivered), LPHA (LMFT, LCSW & LPCC)/Intern or Waivered LPHA (LMFT, LCSW & LPCC), Registered Nurse, Nurse Practitioner, Licensed Occupational Therapist, LVN, Licensed Psychiatric Technician"]
["2025-02-10","ODS",96203,"Added","Beginning fiscal year 2025/26 MHPs may claim for services under the following provider types: Psychiatrist/ Contracted Psychiatrist, Physician Assistant, Pharmacist, Psychologist (Licensed or Waivered), LPHA (LMFT, LCSW & LPCC)/Intern or Waivered LPHA (LMFT, LCSW & LPCC), Registered Nurse, Nurse Practitioner, Licensed Occupational Therapist, LVN, Licensed Psychiatric Technician"]
["2025-02-10","ODS","G0541","Added","Beginning fiscal year 2025/26 MHPs may claim for services under the following provider types: Psychiatrist/ Contracted Psychiatrist, Physician Assistant, Pharmacist, Psychologist (Licensed or Waivered), LPHA (LMFT, LCSW & LPCC)/Intern or Waivered LPHA (LMFT, LCSW & LPCC), Registered Nurse, Nurse Practitioner, Licensed Occupational Therapist, LVN, Licensed Psychiatric Technician"]
["2025-02-10","ODS","G0542","Added","Beginning fiscal year 2025/26 MHPs may claim for services under the following provider types: Psychiatrist/ Contracted Psychiatrist, Physician Assistant, Pharmacist, Psychologist (Licensed or Waivered), LPHA (LMFT, LCSW & LPCC)/Intern or Waivered LPHA (LMFT, LCSW & LPCC), Registered Nurse, Nurse Practitioner, Licensed Occupational Therapist, LVN, Licensed Psychiatric Technician"]
["2025-02-10","ODS","G0543","Added","Beginning fiscal year 2025/26 MHPs may claim for services under the following provider types: Psychiatrist/ Contracted Psychiatrist, Physician Assistant, Pharmacist, Psychologist (Licensed or Waivered), LPHA (LMFT, LCSW & LPCC)/Intern or Waivered LPHA (LMFT, LCSW & LPCC), Registered Nurse, Nurse Practitioner, Licensed Occupational Therapist, LVN, Licensed Psychiatric Technician"]
["2025-02-10","ODS","G0539","Added","Beginning fiscal year 2025/26 MHPs may claim for services under the following provider types: Psychiatrist/ Contracted Psychiatrist, Physician Assistant, Pharmacist, Psychologist (Licensed or Waivered), LPHA (LMFT, LCSW & LPCC)/Intern or Waivered LPHA (LMFT, LCSW & LPCC), Registered Nurse, Nurse Practitioner, Licensed Occupational Therapist, LVN, Licensed Psychiatric Technician"]
["2025-02-10","ODS","G0540","Added","Beginning fiscal year 2025/26 MHPs may claim for services under the following provider types: Psychiatrist/ Contracted Psychiatrist, Physician Assistant, Pharmacist, Psychologist (Licensed or Waivered), LPHA (LMFT, LCSW & LPCC)/Intern or Waivered LPHA (LMFT, LCSW & LPCC), Registered Nurse, Nurse Practitioner, Licensed Occupational Therapist, LVN, Licensed Psychiatric Technician"]
["2025-02-26","ODS","H0003, H2021, T1017","Added","Added Provider Type Psychologist, Registered Nurse, Nurse Practitioner respectively to the noted HCPCS codes"]
["2025-02-26","ODS","Rate","Changed","Increased rate by HHA rate of 3.09%"]
["2025-03-13","ODS","HQ & 22 Modifiers","Corrected Rate","Corrected the rate reflected for the HQ and 22 modifiers"]
["2025-05-07","ODS","G0019, G0022","Added","Provider type Community Health Worker, beginning fiscally year 2025/26 claim for services provided by providers classified as CHW, may submit claims for reimbursement for services provided using the noted HCPCS / CPT codes"]
["2025-07-24","ODS","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","ODS","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"]
["2025-09-13","ODS",98961,"Changed","Changed the rate associated with the noted procedure code and the Community Health Worker provider type, to reflect the actual group rate. Previous rate was an erroneously posted individual rate."]
["2025-09-13","ODS",98962,"Changed","Changed the rate associated with the noted procedure code and the Community Health Worker provider type, to reflect the actual group rate. Previous rate was an erroneously posted individual rate."]
["2025-09-13","ODS","G0397, T1007","Added","Added procedure codes G0397 and T1007 for provider type LVN. Previously provider type was listed as not eligible."]
["2025-09-13","ODS","96202, 96203, 97552, G0543","Corrections","These procedure codes were incorrectly posted as individual rates.  Correction to convert the rate to a group code rate"]
["2025-09-24","ODS","99238, 99239","Added","Previously provider type RN was not included as an eligible provider type for the note procedure codes.  Provider type has been added."]
["2025-12-03","ODS","H0036","Removed","Erroneously included. Removed for all provider types"]
["2025-12-03","ODS","G0323","Removed","Erroneously included. Removed the following provider types Licensed Psychiatric Technician, Licensed Vocational Nurse, Nurse Practitioner, Occupational Therapist, Physician Assistant, Registered Nurse, Registered Pharmacist,. There are only three valid provider types"]
["2025-12-19","ODS","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":159,"n_cols":58,"rows_kept":159,"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]
["Nurse Practitioner",898.55,975.43,853.68,751.25,955.75,802.14,787.48,1018.23,737.63,803.9,834.8,700.52,778.18,597.29,654.99,1014.45,1133.6500000000001,627.99,831.92,846.01,904.84,1147.7,732.35,820.14,765.23,760.18,787.01,972.6,785.59,796.59,816.3,917.19,1084.52,798.31,761.62,848.45,743.91,1048.82,736.31,662.88,1142.3800000000001,671.74,1090.03,794.75,719.44,591.28,864.58,883.77,788.07,894.46,933.38,985.39,1054,696.34,720.17,909.66,888.2]
["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",810.4,879.74,769.94,677.55,862,723.45,710.23,918.34,665.28,725.04,752.91,631.79999999999995,701.84,538.70000000000005,590.74,914.94,1022.45,566.38,750.31,763.02,816.08,1035.1199999999999,660.51,739.69,690.17,685.61,709.81,877.19,708.53,718.45,736.23,827.22,978.13,720,686.91,765.22,670.94,945.93,664.09,597.85,1030.32,605.84,983.11,716.79,648.86,533.27,779.77,797.07,710.76,806.72,841.82,888.72,950.6,628.03,649.52,820.43,801.07]
["Registered Nurse",733.96,796.75,697.31,613.64,780.68,655.20000000000005,643.23,831.71,602.52,656.65,681.88,572.20000000000005,635.64,487.88,535.01,828.63,925.99,512.95000000000005,679.53,691.04,739.09,937.47,598.20000000000005,669.91,625.05999999999995,620.92999999999995,642.85,794.44,641.69000000000005,650.67999999999995,666.78,749.19,885.86,652.08000000000004,622.11,693.03,607.64,856.7,601.44000000000005,541.45000000000005,933.12,548.69000000000005,890.37,649.16999999999996,587.65,482.97,706.21,721.88,643.71,730.62,762.41,804.89,860.93,568.78,588.25,743.04,725.5]
["Psychologist (Licensed or Waivered)",726.69,788.87,690.41,607.57000000000005,772.96,648.72,636.87,823.48,596.55999999999995,650.15,675.13,566.54,629.35,483.05,529.72,820.43,916.83,507.88,672.81,684.2,731.78,928.19,592.28,663.28,618.88,614.79,636.49,786.58,635.34,644.24,660.18,741.77,877.1,645.63,615.95000000000005,686.17,601.63,848.22,595.49,536.09,923.89,543.26,881.56,642.75,581.84,478.19,699.22,714.74,637.34,723.39,754.86,796.92,852.41,563.16,582.42999999999995,735.68,718.32]
["Occupational Therapist",625.99,679.55,448.97,523.37,665.85,558.82000000000005,548.62,709.37,513.89,560.05999999999995,581.58000000000004,488.03,542.14,416.11,456.31,706.74,789.78,437.5,579.58000000000004,589.39,630.37,717.55,510.2,571.37,533.12,529.59,548.29,677.58,547.29999999999995,554.96,568.69000000000005,638.98,659.3,556.16,530.6,591.09,518.26,730.68,512.97,461.81,795.86,467.98,759.4,553.67999999999995,501.21,411.93,602.33000000000004,615.69000000000005,549.02,623.15,650.26,478.08,540.94000000000005,485.12,501.72,633.74,600.29]
["LCSW (Licensed, Waivered or Registered)",470.26,510.5,446.78,393.17,500.2,419.81,412.14,532.9,386.05,420.73,436.9,366.63,407.27,312.60000000000002,342.79,530.91999999999996,593.30999999999995,328.66,435.39,442.77,473.56,600.66,383.28,429.23,400.49,397.85,411.89,509.02,411.15,416.91,427.22,480.02,567.59,417.8,398.6,444.04,389.33,548.91,385.36,346.92,597.87,351.56,570.48,415.94,376.52,309.45,452.49,462.53,412.44,468.13,488.49,515.71,551.62,364.43,376.91,476.08,464.85]
["MFT/LPCC (Licensed, Waivered or Registered)",470.26,510.5,446.78,393.17,500.2,419.81,412.14,532.9,386.05,420.73,436.9,366.63,407.27,312.60000000000002,342.79,530.91999999999996,593.30999999999995,328.66,435.39,442.77,473.56,600.66,383.28,429.23,400.49,397.85,411.89,509.02,411.15,416.91,427.22,480.02,567.59,417.8,398.6,444.04,389.33,548.91,385.36,346.92,597.87,351.56,570.48,415.94,376.52,309.45,452.49,462.53,412.44,468.13,488.49,515.71,551.62,364.43,376.91,476.08,464.85]
["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]
["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]
["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]
["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]
["Licensed Psychiatric Technician",330.54,358.82,237.07,276.35000000000002,351.58,295.07,289.68,374.56,271.35000000000002,295.72000000000003,307.08999999999997,257.69,286.26,219.72,240.94,373.18,417.02,231.01,306.02999999999997,311.20999999999998,332.85,378.88,269.39999999999998,301.7,281.5,279.64,289.51,357.78,288.99,293.02999999999997,300.27999999999997,337.4,348.13,293.67,280.17,312.11,273.64999999999998,385.82,270.86,243.84,420.23,247.1,400.98,292.36,264.64999999999998,217.5,318.04000000000002,325.10000000000002,289.89999999999998,329.04,343.35,252.44,285.63,256.14999999999998,264.92,334.63,316.97000000000003]
["Medical Assistant",265.05,287.72000000000003,251.81,221.6,281.92,236.61,232.29,300.35000000000002,217.58,237.13,246.24,206.63,229.54,176.18,193.2,299.24,334.4,185.24,245.39,249.55,266.89999999999998,338.54,216.02,241.92,225.72,224.23,232.15,286.89,231.73,234.97,240.79,270.55,319.89999999999998,235.48,224.66,250.27,219.43,309.37,217.19,195.53,336.97,198.14,321.52999999999997,234.43,212.21,174.41,255.03,260.69,232.46,263.83999999999997,275.32,290.66000000000003,310.89999999999998,205.4,212.43,268.33,261.99]
["Other Qualified Practitioner",353.81,384.08,253.75,295.81,376.33,315.83999999999997,310.07,400.93,290.45,316.54000000000002,328.7,275.83,306.41000000000003,235.18,257.89999999999998,399.44,446.38,247.27,327.57,333.12,356.28,405.55,288.36,322.93,301.31,299.32,309.89,382.96,309.33,313.66000000000003,321.42,361.15,372.63,314.33999999999997,299.89,334.08,292.92,412.97,289.93,261.01,449.81,264.5,429.2,312.94,283.27999999999997,232.82,340.43,347.99,310.3,352.2,367.52,270.20999999999998,305.73,274.18,283.57,358.18,339.28]
[]
[]
[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]
[90846,50]
[90847,50]
[90849,84]
[90849.1,84]
[90865,90]
[90882,15]
[90885,60]
[90887,50]
[90889,15]
[96130,60]
[96131,60]
[96160,15]
[96170,30]
[96171,15]
[96202,60]
[96202.1,60]
[96203,15]
[96203.1,15]
[97550,23]
[97551,15]
[97552,45]
[97552.1,45]
[98960,30]
[98961,30]
[98962,30]
[98966,8]
[98967,16]
[98968,26]
[99202,22]
[99203,37]
[99204,52]
[99205,67]
[99212,15]
[99213,25]
[99214,35]
[99215,47]
[99234,57]
[99235,77]
[99236,92]
[99238,30]
[99239,60]
[99304,30]
[99305,42]
[99306,57]
[99307,15]
[99308,25]
[99309,37]
[99310,52]
[99341,22]
[99342,45]
[99344,67]
[99345,82]
[99347,25]
[99348,35]
[99349,50]
[99350,67]
[99367,60]
[99368,60]
[99408,23]
[99409,60]
[99415,60]
[99416,30]
[99417,15]
[99418,15]
[99424,30]
[99425,30]
[99437,30]
[99441,8]
[99442,16]
[99443,26]
[99451,18]
[99491,30]
[99495,54]
[99496,75]
["G0019",60]
["G0022",30]
["G0316",15]
["G0323",60]
["G0539",23]
["G0540",15]
["G0541",23]
["G0542",15]
["G0543",45]
["G0543.1",45]
["G0396",23]
["G0397",60]
["G2011",10]
["G2212",15]
["G2212.1",15]
["H0001",15]
["H0003",15]
["H0004",15]
["H0005",15]
["H0007",15]
["H0008",15]
["H0009",15]
["H0014",60]
["H0025",15]
["H0025.1",15]
["H0033",15]
["H0034",15]
["H0034.1",15]
["H0036",15]
["H0038",15]
["H0048",15]
["H0049",15]
["H0050",15]
["H1000",15]
["H2014",15]
["H2014.1",15]
["H2015",15]
["H2017",15]
["H2017.1",15]
["H2021",15]
["H2027",15]
["H2035",60]
["T1006",15]
["T1007",15]
["T1013",15]
["T1017",15]
["T2021",15]
["T2021.1",15]
["T2021.2",15]
["T2024",15]
["T2024.1",15]

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["Press UP, DOWN, LEFT RIGHT arrows in Column A to read through document. Document ordered by the county code in column A smallest to largest. Headers contain filters buttons",null,null,null,null,null,null,null,null,null,null,"Press UP, DOWN, LEFT RIGHT arrows in Column A to read through document. Document ordered by the county code in column A smallest to largest. Headers contain filters buttons"]
["County Code","Provider Type","Procedure Code","Modifier","Max Allowed Rate Per Unit",null,1,2,3,4,5,"County Code","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},{"$f":"EXACT(E3,P3)","v":true},1,"Certified AOD Counselor",90785,"N/A",18.89]
[1,"Certified AOD Counselor",90882,"N/A",97.52,null,{"$f":"EXACT(A4,L4)","v":true},{"$f":"EXACT(B4,M4)","v":true},{"$f":"EXACT(C4,N4)","v":true},{"$f":"EXACT(D4,O4)","v":true},{"$f":"EXACT(E4,P4)","v":true},1,"Certified AOD Counselor",90882,"N/A",97.52]
[1,"Certified AOD Counselor","G0396","N/A",149.53,null,true,true,true,true,true,1,"Certified AOD Counselor","G0396","N/A",149.53]
[1,"Certified AOD Counselor","G0397","N/A",390.07,null,true,true,true,true,true,1,"Certified AOD Counselor","G0397","N/A",390.07]
[1,"Certified AOD Counselor","G2011","N/A",65.010000000000005,null,true,true,true,true,true,1,"Certified AOD Counselor","G2011","N/A",65.010000000000005]
[1,"Certified AOD Counselor","H0001","N/A",97.52,null,true,true,true,true,true,1,"Certified AOD Counselor","H0001","N/A",97.52]
[1,"Certified AOD Counselor","H0004","N/A",97.52,null,true,true,true,true,true,1,"Certified AOD Counselor","H0004","N/A",97.52]
[1,"Certified AOD Counselor","H0005","N/A",21.67,null,true,true,true,true,true,1,"Certified AOD Counselor","H0005","N/A",21.67]
[1,"Certified AOD Counselor","H0007","N/A",97.52,null,true,true,true,true,true,1,"Certified AOD Counselor","H0007","N/A",97.52]
[1,"Certified AOD Counselor","H0049","N/A",97.52,null,true,true,true,true,true,1,"Certified AOD Counselor","H0049","N/A",97.52]
[1,"Certified AOD Counselor","H0050","N/A",97.52,null,true,true,true,true,true,1,"Certified AOD Counselor","H0050","N/A",97.52]
[1,"Certified AOD Counselor","H1000","N/A",97.52,null,true,true,true,true,true,1,"Certified AOD Counselor","H1000","N/A",97.52]
[1,"Certified AOD Counselor","H2014","N/A",97.52,null,true,true,true,true,true,1,"Certified AOD Counselor","H2014","N/A",97.52]
[1,"Certified AOD Counselor","H2014","HQ",21.67,null,true,true,true,true,true,1,"Certified AOD Counselor","H2014","HQ",21.67]
[1,"Certified AOD Counselor","H2015","N/A",97.52,null,true,true,true,true,true,1,"Certified AOD Counselor","H2015","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","H2021","N/A",97.52,null,true,true,true,true,true,1,"Certified AOD Counselor","H2021","N/A",97.52]
[1,"Certified AOD Counselor","H2027","N/A",97.52,null,true,true,true,true,true,1,"Certified AOD Counselor","H2027","N/A",97.52]
[1,"Certified AOD Counselor","H2035","N/A",390.07,null,true,true,true,true,true,1,"Certified AOD Counselor","H2035","N/A",390.07]
[1,"Certified AOD Counselor","T1006","N/A",97.52,null,true,true,true,true,true,1,"Certified AOD Counselor","T1006","N/A",97.52]
[1,"Certified AOD Counselor","T1007","N/A",97.52,null,true,true,true,true,true,1,"Certified AOD Counselor","T1007","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,"Certified AOD Counselor","T2024","N/A",97.52,null,true,true,true,true,true,1,"Certified AOD Counselor","T2024","N/A",97.52]
[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,"Community Health Worker",98961,"N/A",60.44,null,true,true,true,true,true,1,"Community Health Worker",98961,"N/A",60.44]
[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,"Community Health Worker","G0019","N/A",362.65,null,true,true,true,true,true,1,"Community Health Worker","G0019","N/A",362.65]
[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,"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,"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,"LCSW (Licensed, Waivered or Registered)",90846,"N/A",391.88,null,true,true,true,true,true,1,"LCSW (Licensed, Waivered or Registered)",90846,"N/A",391.88]
[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,"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,"LCSW (Licensed, Waivered or Registered)",90882,"N/A",117.57,null,true,true,true,true,true,1,"LCSW (Licensed, Waivered or Registered)",90882,"N/A",117.57]
[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,"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,"LCSW (Licensed, Waivered or Registered)",90889,"N/A",117.57,null,true,true,true,true,true,1,"LCSW (Licensed, Waivered or Registered)",90889,"N/A",117.57]
[1,"LCSW (Licensed, Waivered or Registered)",96160,"N/A",117.57,null,true,true,true,true,true,1,"LCSW (Licensed, Waivered or Registered)",96160,"N/A",117.57]
[1,"LCSW (Licensed, Waivered or Registered)",96170,"N/A",235.13,null,true,true,true,true,true,1,"LCSW (Licensed, Waivered or Registered)",96170,"N/A",235.13]
[1,"LCSW (Licensed, Waivered or Registered)",96171,"N/A",117.57,null,true,true,true,true,true,1,"LCSW (Licensed, Waivered or Registered)",96171,"N/A",117.57]
[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,"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,"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,"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,"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,"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,"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,"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,"LCSW (Licensed, Waivered or Registered)",99368,"N/A",470.26,null,true,true,true,true,true,1,"LCSW (Licensed, Waivered or Registered)",99368,"N/A",470.26]
[1,"LCSW (Licensed, Waivered or Registered)","G0396","N/A",180.27,null,true,true,true,true,true,1,"LCSW (Licensed, Waivered or Registered)","G0396","N/A",180.27]
[1,"LCSW (Licensed, Waivered or Registered)","G0397","N/A",470.26,null,true,true,true,true,true,1,"LCSW (Licensed, Waivered or Registered)","G0397","N/A",470.26]
[1,"LCSW (Licensed, Waivered or Registered)","G0539","N/A",180.27,null,true,true,true,true,true,1,"LCSW (Licensed, Waivered or Registered)","G0539","N/A",180.27]
[1,"LCSW (Licensed, Waivered or Registered)","G0540","N/A",117.57,null,true,true,true,true,true,1,"LCSW (Licensed, Waivered or Registered)","G0540","N/A",117.57]
[1,"LCSW (Licensed, Waivered or Registered)","G0541","N/A",180.27,null,true,true,true,true,true,1,"LCSW (Licensed, Waivered or Registered)","G0541","N/A",180.27]
[1,"LCSW (Licensed, Waivered or Registered)","G0542","N/A",117.57,null,true,true,true,true,true,1,"LCSW (Licensed, Waivered or Registered)","G0542","N/A",117.57]
[1,"LCSW (Licensed, Waivered or Registered)","G0543","N/A",78.38,null,true,true,true,true,true,1,"LCSW (Licensed, Waivered or Registered)","G0543","N/A",78.38]
[1,"LCSW (Licensed, Waivered or Registered)","G2011","N/A",78.38,null,true,true,true,true,true,1,"LCSW (Licensed, Waivered or Registered)","G2011","N/A",78.38]
[1,"LCSW (Licensed, Waivered or Registered)","H0001","N/A",117.57,null,true,true,true,true,true,1,"LCSW (Licensed, Waivered or Registered)","H0001","N/A",117.57]
[1,"LCSW (Licensed, Waivered or Registered)","H0004","N/A",117.57,null,true,true,true,true,true,1,"LCSW (Licensed, Waivered or Registered)","H0004","N/A",117.57]
[1,"LCSW (Licensed, Waivered or Registered)","H0005","N/A",26.13,null,true,true,true,true,true,1,"LCSW (Licensed, Waivered or Registered)","H0005","N/A",26.13]
[1,"LCSW (Licensed, Waivered or Registered)","H0007","N/A",117.57,null,true,true,true,true,true,1,"LCSW (Licensed, Waivered or Registered)","H0007","N/A",117.57]
[1,"LCSW (Licensed, Waivered or Registered)","H0049","N/A",117.57,null,true,true,true,true,true,1,"LCSW (Licensed, Waivered or Registered)","H0049","N/A",117.57,{"$f":"IF(N66=\"H0036\",9,1)","v":1}]
[1,"LCSW (Licensed, Waivered or Registered)","H0050","N/A",117.57,null,{"$f":"EXACT(A67,L67)","v":true},{"$f":"EXACT(B67,M67)","v":true},{"$f":"EXACT(C67,N67)","v":true},{"$f":"EXACT(D67,O67)","v":true},{"$f":"EXACT(E67,P67)","v":true},1,"LCSW (Licensed, Waivered or Registered)","H0050","N/A",117.57,1]
[1,"LCSW (Licensed, Waivered or Registered)","H1000","N/A",117.57,null,true,true,true,true,true,1,"LCSW (Licensed, Waivered or Registered)","H1000","N/A",117.57,1]
[1,"LCSW (Licensed, Waivered or Registered)","H2014","N/A",117.57,null,true,true,true,true,true,1,"LCSW (Licensed, Waivered or Registered)","H2014","N/A",117.57,1]
[1,"LCSW (Licensed, Waivered or Registered)","H2014","HQ",26.13,null,true,true,true,true,true,1,"LCSW (Licensed, Waivered or Registered)","H2014","HQ",26.13,1]
[1,"LCSW (Licensed, Waivered or Registered)","H2015","N/A",117.57,null,true,true,true,true,true,1,"LCSW (Licensed, Waivered or Registered)","H2015","N/A",117.57,1]
[1,"LCSW (Licensed, Waivered or Registered)","H2017","N/A",117.57,null,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,null,true,true,true,true,true,1,"LCSW (Licensed, Waivered or Registered)","H2017","HQ",26.13,1]
[1,"LCSW (Licensed, Waivered or Registered)","H2021","N/A",117.57,null,true,true,true,true,true,1,"LCSW (Licensed, Waivered or Registered)","H2021","N/A",117.57,1]
[1,"LCSW (Licensed, Waivered or Registered)","H2027","N/A",117.57,null,true,true,true,true,true,1,"LCSW (Licensed, Waivered or Registered)","H2027","N/A",117.57,1]
[1,"LCSW (Licensed, Waivered or Registered)","H2035","N/A",470.26,null,true,true,true,true,true,1,"LCSW (Licensed, Waivered or Registered)","H2035","N/A",470.26,1]
[1,"LCSW (Licensed, Waivered or Registered)","T1006","N/A",117.57,null,true,true,true,true,true,1,"LCSW (Licensed, Waivered or Registered)","T1006","N/A",117.57,1]
[1,"LCSW (Licensed, Waivered or Registered)","T1007","N/A",117.57,null,true,true,true,true,true,1,"LCSW (Licensed, Waivered or Registered)","T1007","N/A",117.57,1]
[1,"LCSW (Licensed, Waivered or Registered)","T1013","N/A",31.88,null,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,null,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,null,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,null,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,null,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,null,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,null,true,true,true,true,true,1,"Licensed Physician",90785,"N/A",18.89,1]
[1,"Licensed Physician",90791,"N/A",1806.94,null,true,true,true,true,true,1,"Licensed Physician",90791,"N/A",1806.94,1]
[1,"Licensed Physician",90792,"N/A",1806.94,null,true,true,true,true,true,1,"Licensed Physician",90792,"N/A",1806.94,1]
[1,"Licensed Physician",90846,"N/A",1505.78,null,true,true,true,true,true,1,"Licensed Physician",90846,"N/A",1505.78,1]
[1,"Licensed Physician",90847,"N/A",1505.78,null,true,true,true,true,true,1,"Licensed Physician",90847,"N/A",1505.78,1]
[1,"Licensed Physician",90849,"N/A",562.16,null,true,true,true,true,true,1,"Licensed Physician",90849,"N/A",562.16,1]
[1,"Licensed Physician",90865,"N/A",2710.41,null,true,true,true,true,true,1,"Licensed Physician",90865,"N/A",2710.41,1]
[1,"Licensed Physician",90882,"N/A",451.74,null,true,true,true,true,true,1,"Licensed Physician",90882,"N/A",451.74,1]
[1,"Licensed Physician",90885,"N/A",1806.94,null,true,true,true,true,true,1,"Licensed Physician",90885,"N/A",1806.94,1]
[1,"Licensed Physician",90887,"N/A",1505.78,null,true,true,true,true,true,1,"Licensed Physician",90887,"N/A",1505.78,1]
[1,"Licensed Physician",90889,"N/A",451.74,null,true,true,true,true,true,1,"Licensed Physician",90889,"N/A",451.74,1]
[1,"Licensed Physician",96130,"N/A",1806.94,null,true,true,true,true,true,1,"Licensed Physician",96130,"N/A",1806.94,1]
[1,"Licensed Physician",96131,"N/A",1806.94,null,true,true,true,true,true,1,"Licensed Physician",96131,"N/A",1806.94,1]
[1,"Licensed Physician",96160,"N/A",451.74,null,true,true,true,true,true,1,"Licensed Physician",96160,"N/A",451.74,{"$f":"IF(N98=\"H0036\",9,1)","v":1}]
[1,"Licensed Physician",96170,"N/A",903.47,null,true,true,true,true,true,1,"Licensed Physician",96170,"N/A",903.47,1]
[1,"Licensed Physician",96171,"N/A",451.74,null,true,true,true,true,true,1,"Licensed Physician",96171,"N/A",451.74,1]
[1,"Licensed Physician",96202,"N/A",401.54,null,true,true,true,true,true,1,"Licensed Physician",96202,"N/A",401.54,1]
[1,"Licensed Physician",96203,"N/A",100.39,null,true,true,true,true,true,1,"Licensed Physician",96203,"N/A",100.39,1]
[1,"Licensed Physician",97550,"N/A",692.66,null,true,true,true,true,true,1,"Licensed Physician",97550,"N/A",692.66,1]
[1,"Licensed Physician",97551,"N/A",451.74,null,true,true,true,true,true,1,"Licensed Physician",97551,"N/A",451.74,1]
[1,"Licensed Physician",97552,"N/A",301.16000000000003,null,true,true,true,true,true,1,"Licensed Physician",97552,"N/A",301.16000000000003,1]
[1,"Licensed Physician",99202,"N/A",662.54,null,true,true,true,true,true,1,"Licensed Physician",99202,"N/A",662.54,1]
[1,"Licensed Physician",99203,"N/A",1114.28,null,true,true,true,true,true,1,"Licensed Physician",99203,"N/A",1114.28,1]
[1,"Licensed Physician",99204,"N/A",1566.01,null,true,true,true,true,true,1,"Licensed Physician",99204,"N/A",1566.01,1]
[1,"Licensed Physician",99205,"N/A",2017.75,null,true,true,true,true,true,1,"Licensed Physician",99205,"N/A",2017.75,1]
[1,"Licensed Physician",99212,"N/A",451.74,null,true,true,true,true,true,1,"Licensed Physician",99212,"N/A",451.74,1]
[1,"Licensed Physician",99213,"N/A",752.89,null,true,true,true,true,true,1,"Licensed Physician",99213,"N/A",752.89,1]
[1,"Licensed Physician",99214,"N/A",1054.05,null,true,true,true,true,true,1,"Licensed Physician",99214,"N/A",1054.05,1]
[1,"Licensed Physician",99215,"N/A",1415.44,null,true,true,true,true,true,1,"Licensed Physician",99215,"N/A",1415.44,1]
[1,"Licensed Physician",99234,"N/A",1716.59,null,true,true,true,true,true,1,"Licensed Physician",99234,"N/A",1716.59,1]
[1,"Licensed Physician",99235,"N/A",2318.91,null,true,true,true,true,true,1,"Licensed Physician",99235,"N/A",2318.91,1]
[1,"Licensed Physician",99236,"N/A",2770.64,null,true,true,true,true,true,1,"Licensed Physician",99236,"N/A",2770.64,1]
[1,"Licensed Physician",99238,"N/A",903.47,null,true,true,true,true,true,1,"Licensed Physician",99238,"N/A",903.47,1]
[1,"Licensed Physician",99239,"N/A",1806.94,null,true,true,true,true,true,1,"Licensed Physician",99239,"N/A",1806.94,1]
[1,"Licensed Physician",99304,"N/A",903.47,null,true,true,true,true,true,1,"Licensed Physician",99304,"N/A",903.47,1]
[1,"Licensed Physician",99305,"N/A",1264.8599999999999,null,true,true,true,true,true,1,"Licensed Physician",99305,"N/A",1264.8599999999999,1]
[1,"Licensed Physician",99306,"N/A",1716.59,null,true,true,true,true,true,1,"Licensed Physician",99306,"N/A",1716.59,1]
[1,"Licensed Physician",99307,"N/A",451.74,null,true,true,true,true,true,1,"Licensed Physician",99307,"N/A",451.74,1]
[1,"Licensed Physician",99308,"N/A",752.89,null,true,true,true,true,true,1,"Licensed Physician",99308,"N/A",752.89,1]
[1,"Licensed Physician",99309,"N/A",1114.28,null,true,true,true,true,true,1,"Licensed Physician",99309,"N/A",1114.28,1]
[1,"Licensed Physician",99310,"N/A",1566.01,null,true,true,true,true,true,1,"Licensed Physician",99310,"N/A",1566.01,1]
[1,"Licensed Physician",99341,"N/A",662.54,null,true,true,true,true,true,1,"Licensed Physician",99341,"N/A",662.54,1]
[1,"Licensed Physician",99342,"N/A",1355.21,null,true,true,true,true,true,1,"Licensed Physician",99342,"N/A",1355.21,1]
[1,"Licensed Physician",99344,"N/A",2017.75,null,true,true,true,true,true,1,"Licensed Physician",99344,"N/A",2017.75,1]
[1,"Licensed Physician",99345,"N/A",2469.48,null,true,true,true,true,true,1,"Licensed Physician",99345,"N/A",2469.48,1]
[1,"Licensed Physician",99347,"N/A",752.89,null,true,true,true,true,true,1,"Licensed Physician",99347,"N/A",752.89,{"$f":"IF(N130=\"H0036\",9,1)","v":1}]
[1,"Licensed Physician",99348,"N/A",1054.05,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},{"$f":"EXACT(E131,P131)","v":true},1,"Licensed Physician",99348,"N/A",1054.05,1]
[1,"Licensed Physician",99349,"N/A",1505.78,null,true,true,true,true,true,1,"Licensed Physician",99349,"N/A",1505.78,1]
[1,"Licensed Physician",99350,"N/A",2017.75,null,true,true,true,true,true,1,"Licensed Physician",99350,"N/A",2017.75,1]
[1,"Licensed Physician",99367,"N/A",1806.94,null,true,true,true,true,true,1,"Licensed Physician",99367,"N/A",1806.94,1]
[1,"Licensed Physician",99408,"N/A",692.66,null,true,true,true,true,true,1,"Licensed Physician",99408,"N/A",692.66,1]
[1,"Licensed Physician",99409,"N/A",1806.94,null,true,true,true,true,true,1,"Licensed Physician",99409,"N/A",1806.94,1]
[1,"Licensed Physician",99415,"N/A",1806.94,null,true,true,true,true,true,1,"Licensed Physician",99415,"N/A",1806.94,1]
[1,"Licensed Physician",99416,"N/A",903.47,null,true,true,true,true,true,1,"Licensed Physician",99416,"N/A",903.47,1]
[1,"Licensed Physician",99417,"N/A",451.74,null,true,true,true,true,true,1,"Licensed Physician",99417,"N/A",451.74,1]
[1,"Licensed Physician",99418,"N/A",451.74,null,true,true,true,true,true,1,"Licensed Physician",99418,"N/A",451.74,1]
[1,"Licensed Physician",99424,"N/A",903.47,null,true,true,true,true,true,1,"Licensed Physician",99424,"N/A",903.47,1]
[1,"Licensed Physician",99425,"N/A",903.47,null,true,true,true,true,true,1,"Licensed Physician",99425,"N/A",903.47,1]
[1,"Licensed Physician",99437,"N/A",903.47,null,true,true,true,true,true,1,"Licensed Physician",99437,"N/A",903.47,1]
[1,"Licensed Physician",99441,"N/A",240.93,null,true,true,true,true,true,1,"Licensed Physician",99441,"N/A",240.93,1]
[1,"Licensed Physician",99442,"N/A",481.85,null,true,true,true,true,true,1,"Licensed Physician",99442,"N/A",481.85,1]
[1,"Licensed Physician",99443,"N/A",783.01,null,true,true,true,true,true,1,"Licensed Physician",99443,"N/A",783.01,1]
[1,"Licensed Physician",99451,"N/A",542.08000000000004,null,true,true,true,true,true,1,"Licensed Physician",99451,"N/A",542.08000000000004,1]
[1,"Licensed Physician",99491,"N/A",903.47,null,true,true,true,true,true,1,"Licensed Physician",99491,"N/A",903.47,1]
[1,"Licensed Physician",99495,"N/A",1626.25,null,true,true,true,true,true,1,"Licensed Physician",99495,"N/A",1626.25,1]
[1,"Licensed Physician",99496,"N/A",2258.6799999999998,null,true,true,true,true,true,1,"Licensed Physician",99496,"N/A",2258.6799999999998,1]
[1,"Licensed Physician","G0316","N/A",451.74,null,true,true,true,true,true,1,"Licensed Physician","G0316","N/A",451.74,1]
[1,"Licensed Physician","G0396","N/A",692.66,null,true,true,true,true,true,1,"Licensed Physician","G0396","N/A",692.66,1]
[1,"Licensed Physician","G0397","N/A",1806.94,null,true,true,true,true,true,1,"Licensed Physician","G0397","N/A",1806.94,1]
[1,"Licensed Physician","G0539","N/A",692.66,null,true,true,true,true,true,1,"Licensed Physician","G0539","N/A",692.66,1]
[1,"Licensed Physician","G0540","N/A",451.74,null,true,true,true,true,true,1,"Licensed Physician","G0540","N/A",451.74,1]
[1,"Licensed Physician","G0541","N/A",692.66,null,true,true,true,true,true,1,"Licensed Physician","G0541","N/A",692.66,1]
[1,"Licensed Physician","G0542","N/A",451.74,null,true,true,true,true,true,1,"Licensed Physician","G0542","N/A",451.74,1]
[1,"Licensed Physician","G0543","N/A",301.16000000000003,null,true,true,true,true,true,1,"Licensed Physician","G0543","N/A",301.16000000000003,1]
[1,"Licensed Physician","G2011","N/A",301.16000000000003,null,true,true,true,true,true,1,"Licensed Physician","G2011","N/A",301.16000000000003,1]
[1,"Licensed Physician","H0001","N/A",451.74,null,true,true,true,true,true,1,"Licensed Physician","H0001","N/A",451.74,1]
[1,"Licensed Physician","H0003","N/A",451.74,null,true,true,true,true,true,1,"Licensed Physician","H0003","N/A",451.74,1]
[1,"Licensed Physician","H0004","N/A",451.74,null,true,true,true,true,true,1,"Licensed Physician","H0004","N/A",451.74,{"$f":"IF(N162=\"H0036\",9,1)","v":1}]
[1,"Licensed Physician","H0005","N/A",100.39,null,true,true,true,true,true,1,"Licensed Physician","H0005","N/A",100.39,1]
[1,"Licensed Physician","H0007","N/A",451.74,null,true,true,true,true,true,1,"Licensed Physician","H0007","N/A",451.74,1]
[1,"Licensed Physician","H0008","N/A",451.74,null,true,true,true,true,true,1,"Licensed Physician","H0008","N/A",451.74,1]
[1,"Licensed Physician","H0009","N/A",451.74,null,true,true,true,true,true,1,"Licensed Physician","H0009","N/A",451.74,1]
[1,"Licensed Physician","H0033","N/A",451.74,null,true,true,true,true,true,1,"Licensed Physician","H0033","N/A",451.74,1]
[1,"Licensed Physician","H0034","N/A",451.74,null,true,true,true,true,true,1,"Licensed Physician","H0034","N/A",451.74,1]
[1,"Licensed Physician","H0034","HQ",100.39,null,true,true,true,true,true,1,"Licensed Physician","H0034","HQ",100.39,1]
[1,"Licensed Physician","H0048","N/A",451.74,null,true,true,true,true,true,1,"Licensed Physician","H0048","N/A",451.74,1]
[1,"Licensed Physician","H0049","N/A",451.74,null,true,true,true,true,true,1,"Licensed Physician","H0049","N/A",451.74,1]
[1,"Licensed Physician","H0050","N/A",451.74,null,true,true,true,true,true,1,"Licensed Physician","H0050","N/A",451.74,1]
[1,"Licensed Physician","H1000","N/A",451.74,null,true,true,true,true,true,1,"Licensed Physician","H1000","N/A",451.74,1]
[1,"Licensed Physician","H2014","N/A",451.74,null,true,true,true,true,true,1,"Licensed Physician","H2014","N/A",451.74,1]
[1,"Licensed Physician","H2014","HQ",100.39,null,true,true,true,true,true,1,"Licensed Physician","H2014","HQ",100.39,1]
[1,"Licensed Physician","H2015","N/A",451.74,null,true,true,true,true,true,1,"Licensed Physician","H2015","N/A",451.74,1]
[1,"Licensed Physician","H2017","N/A",451.74,null,true,true,true,true,true,1,"Licensed Physician","H2017","N/A",451.74,1]
[1,"Licensed Physician","H2017","HQ",100.39,null,true,true,true,true,true,1,"Licensed Physician","H2017","HQ",100.39,1]
[1,"Licensed Physician","H2021","N/A",451.74,null,true,true,true,true,true,1,"Licensed Physician","H2021","N/A",451.74,1]
[1,"Licensed Physician","H2027","N/A",451.74,null,true,true,true,true,true,1,"Licensed Physician","H2027","N/A",451.74,1]
[1,"Licensed Physician","H2035","N/A",1806.94,null,true,true,true,true,true,1,"Licensed Physician","H2035","N/A",1806.94,1]
[1,"Licensed Physician","T1006","N/A",451.74,null,true,true,true,true,true,1,"Licensed Physician","T1006","N/A",451.74,1]
[1,"Licensed Physician","T1007","N/A",451.74,null,true,true,true,true,true,1,"Licensed Physician","T1007","N/A",451.74,1]
[1,"Licensed Physician","T1013","N/A",31.88,null,true,true,true,true,true,1,"Licensed Physician","T1013","N/A",31.88,1]
[1,"Licensed Physician","T1017","N/A",451.74,null,true,true,true,true,true,1,"Licensed Physician","T1017","N/A",451.74,1]
[1,"Licensed Physician","T2021","N/A",451.74,null,true,true,true,true,true,1,"Licensed Physician","T2021","N/A",451.74,1]
[1,"Licensed Physician","T2021","HQ",100.39,null,true,true,true,true,true,1,"Licensed Physician","T2021","HQ",100.39,1]
[1,"Licensed Physician","T2021",22,454.75,null,true,true,true,true,true,1,"Licensed Physician","T2021",22,454.75,1]
[1,"Licensed Physician","T2024","N/A",451.74,null,true,true,true,true,true,1,"Licensed Physician","T2024","N/A",451.74,1]
[1,"Licensed Psychiatric Technician",90785,"N/A",18.89,null,true,true,true,true,true,1,"Licensed Psychiatric Technician",90785,"N/A",18.89,1]
[1,"Licensed Psychiatric Technician",90882,"N/A",82.64,null,true,true,true,true,true,1,"Licensed Psychiatric Technician",90882,"N/A",82.64,1]
[1,"Licensed Psychiatric Technician",90889,"N/A",82.64,null,true,true,true,true,true,1,"Licensed Psychiatric Technician",90889,"N/A",82.64,1]
[1,"Licensed Psychiatric Technician",96160,"N/A",82.64,null,true,true,true,true,true,1,"Licensed Psychiatric Technician",96160,"N/A",82.64,1]
[1,"Licensed Psychiatric Technician",96170,"N/A",165.27,null,true,true,true,true,true,1,"Licensed Psychiatric Technician",96170,"N/A",165.27,{"$f":"IF(N194=\"H0036\",9,1)","v":1}]
[1,"Licensed Psychiatric Technician",96171,"N/A",82.64,null,{"$f":"EXACT(A195,L195)","v":true},{"$f":"EXACT(B195,M195)","v":true},{"$f":"EXACT(C195,N195)","v":true},{"$f":"EXACT(D195,O195)","v":true},{"$f":"EXACT(E195,P195)","v":true},1,"Licensed Psychiatric Technician",96171,"N/A",82.64,1]
[1,"Licensed Psychiatric Technician",96202,"N/A",73.45,null,true,true,true,true,true,1,"Licensed Psychiatric Technician",96202,"N/A",73.45,1]
[1,"Licensed Psychiatric Technician",96203,"N/A",18.36,null,true,true,true,true,true,1,"Licensed Psychiatric Technician",96203,"N/A",18.36,1]
[1,"Licensed Psychiatric Technician",97550,"N/A",126.71,null,true,true,true,true,true,1,"Licensed Psychiatric Technician",97550,"N/A",126.71,1]
[1,"Licensed Psychiatric Technician",97551,"N/A",82.64,null,true,true,true,true,true,1,"Licensed Psychiatric Technician",97551,"N/A",82.64,1]
[1,"Licensed Psychiatric Technician",97552,"N/A",55.09,null,true,true,true,true,true,1,"Licensed Psychiatric Technician",97552,"N/A",55.09,1]
[1,"Licensed Psychiatric Technician","G0396","N/A",126.71,{"$f":"IF(C201=\"G0323\",9,1)","v":1},true,true,true,true,true,1,"Licensed Psychiatric Technician","G0396","N/A",126.71,{"$f":"IF(OR(N201=\"H0036\",N201=\"G0323\"),9,1)","v":1}]
[1,"Licensed Psychiatric Technician","G0397","N/A",330.54,1,true,true,true,true,true,1,"Licensed Psychiatric Technician","G0397","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","G2011","N/A",55.09,1,true,true,true,true,true,1,"Licensed Psychiatric Technician","G2011","N/A",55.09,1]
[1,"Licensed Psychiatric Technician","H0001","N/A",82.64,1,true,true,true,true,true,1,"Licensed Psychiatric Technician","H0001","N/A",82.64,1]
[1,"Licensed Psychiatric Technician","H0003","N/A",82.64,1,true,true,true,true,true,1,"Licensed Psychiatric Technician","H0003","N/A",82.64,1]
[1,"Licensed Psychiatric Technician","H0007","N/A",82.64,1,true,true,true,true,true,1,"Licensed Psychiatric Technician","H0007","N/A",82.64,1]
[1,"Licensed Psychiatric Technician","H0008","N/A",82.64,1,true,true,true,true,true,1,"Licensed Psychiatric Technician","H0008","N/A",82.64,1]
[1,"Licensed Psychiatric Technician","H0009","N/A",82.64,1,true,true,true,true,true,1,"Licensed Psychiatric Technician","H0009","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,true,true,true,true,true,1,"Licensed Psychiatric Technician","H0034","HQ",18.36,1]
[1,"Licensed Psychiatric Technician","H0048","N/A",82.64,1,true,true,true,true,true,1,"Licensed Psychiatric Technician","H0048","N/A",82.64,1]
[1,"Licensed Psychiatric Technician","H0049","N/A",82.64,1,true,true,true,true,true,1,"Licensed Psychiatric Technician","H0049","N/A",82.64,1]
[1,"Licensed Psychiatric Technician","H0050","N/A",82.64,1,true,true,true,true,true,1,"Licensed Psychiatric Technician","H0050","N/A",82.64,1]
[1,"Licensed Psychiatric Technician","H1000","N/A",82.64,1,true,true,true,true,true,1,"Licensed Psychiatric Technician","H1000","N/A",82.64,1]
[1,"Licensed Psychiatric Technician","H2014","N/A",82.64,1,true,true,true,true,true,1,"Licensed Psychiatric Technician","H2014","N/A",82.64,1]
[1,"Licensed Psychiatric Technician","H2014","HQ",18.36,1,true,true,true,true,true,1,"Licensed Psychiatric Technician","H2014","HQ",18.36,1]
[1,"Licensed Psychiatric Technician","H2015","N/A",82.64,1,true,true,true,true,true,1,"Licensed Psychiatric Technician","H2015","N/A",82.64,1]
[1,"Licensed Psychiatric Technician","H2017","N/A",82.64,1,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","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","H2027","N/A",82.64,1,true,true,true,true,true,1,"Licensed Psychiatric Technician","H2027","N/A",82.64,1]
[1,"Licensed Psychiatric Technician","H2035","N/A",330.54,1,true,true,true,true,true,1,"Licensed Psychiatric Technician","H2035","N/A",330.54,1]
[1,"Licensed Psychiatric Technician","T1007","N/A",82.64,1,true,true,true,true,true,1,"Licensed Psychiatric Technician","T1007","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",90882,"N/A",96.39,1,true,true,true,true,true,1,"Licensed Vocational Nurse",90882,"N/A",96.39,1]
[1,"Licensed Vocational Nurse",90889,"N/A",96.39,1,true,true,true,true,true,1,"Licensed Vocational Nurse",90889,"N/A",96.39,1]
[1,"Licensed Vocational Nurse",96160,"N/A",96.39,1,true,true,true,true,true,1,"Licensed Vocational Nurse",96160,"N/A",96.39,1]
[1,"Licensed Vocational Nurse",96170,"N/A",192.79,1,true,true,true,true,true,1,"Licensed Vocational Nurse",96170,"N/A",192.79,1]
[1,"Licensed Vocational Nurse",96171,"N/A",96.39,1,true,true,true,true,true,1,"Licensed Vocational Nurse",96171,"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",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","G0396","N/A",147.80000000000001,1,true,true,true,true,true,1,"Licensed Vocational Nurse","G0396","N/A",147.80000000000001,1]
[1,"Licensed Vocational Nurse","G0397","N/A",385.57,1,true,true,true,true,true,1,"Licensed Vocational Nurse","G0397","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","G2011","N/A",64.260000000000005,1,true,true,true,true,true,1,"Licensed Vocational Nurse","G2011","N/A",64.260000000000005,1]
[1,"Licensed Vocational Nurse","H0001","N/A",96.39,1,true,true,true,true,true,1,"Licensed Vocational Nurse","H0001","N/A",96.39,1]
[1,"Licensed Vocational Nurse","H0003","N/A",96.39,1,true,true,true,true,true,1,"Licensed Vocational Nurse","H0003","N/A",96.39,1]
[1,"Licensed Vocational Nurse","H0007","N/A",96.39,1,true,true,true,true,true,1,"Licensed Vocational Nurse","H0007","N/A",96.39,1]
[1,"Licensed Vocational Nurse","H0008","N/A",96.39,1,true,true,true,true,true,1,"Licensed Vocational Nurse","H0008","N/A",96.39,1]
[1,"Licensed Vocational Nurse","H0009","N/A",96.39,1,true,true,true,true,true,1,"Licensed Vocational Nurse","H0009","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","H0048","N/A",96.39,1,{"$f":"EXACT(A259,L259)","v":true},{"$f":"EXACT(B259,M259)","v":true},{"$f":"EXACT(C259,N259)","v":true},{"$f":"EXACT(D259,O259)","v":true},{"$f":"EXACT(E259,P259)","v":true},1,"Licensed Vocational Nurse","H0048","N/A",96.39,1]
[1,"Licensed Vocational Nurse","H0049","N/A",96.39,1,true,true,true,true,true,1,"Licensed Vocational Nurse","H0049","N/A",96.39,1]
[1,"Licensed Vocational Nurse","H0050","N/A",96.39,1,true,true,true,true,true,1,"Licensed Vocational Nurse","H0050","N/A",96.39,1]
[1,"Licensed Vocational Nurse","H1000","N/A",96.39,1,true,true,true,true,true,1,"Licensed Vocational Nurse","H1000","N/A",96.39,1]
[1,"Licensed Vocational Nurse","H2014","N/A",96.39,1,true,true,true,true,true,1,"Licensed Vocational Nurse","H2014","N/A",96.39,1]
[1,"Licensed Vocational Nurse","H2014","HQ",21.42,1,true,true,true,true,true,1,"Licensed Vocational Nurse","H2014","HQ",21.42,1]
[1,"Licensed Vocational Nurse","H2015","N/A",96.39,{"$f":"IF(C265=\"G0323\",9,1)","v":1},true,true,true,true,true,1,"Licensed Vocational Nurse","H2015","N/A",96.39,{"$f":"IF(OR(N265=\"H0036\",N265=\"G0323\"),9,1)","v":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","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","H2027","N/A",96.39,1,true,true,true,true,true,1,"Licensed Vocational Nurse","H2027","N/A",96.39,1]
[1,"Licensed Vocational Nurse","H2035","N/A",385.57,1,true,true,true,true,true,1,"Licensed Vocational Nurse","H2035","N/A",385.57,1]
[1,"Licensed Vocational Nurse","T1007","N/A",96.39,1,true,true,true,true,true,1,"Licensed Vocational Nurse","T1007","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",18.32,1,true,true,true,true,true,1,"Medical Assistant",90785,"N/A",18.32,1]
[1,"Medical Assistant",90882,"N/A",66.260000000000005,1,true,true,true,true,true,1,"Medical Assistant",90882,"N/A",66.260000000000005,1]
[1,"Medical Assistant",96160,"N/A",66.260000000000005,1,true,true,true,true,true,1,"Medical Assistant",96160,"N/A",66.260000000000005,1]
[1,"Medical Assistant",96170,"N/A",132.53,1,true,true,true,true,true,1,"Medical Assistant",96170,"N/A",132.53,1]
[1,"Medical Assistant",96171,"N/A",66.260000000000005,1,true,true,true,true,true,1,"Medical Assistant",96171,"N/A",66.260000000000005,1]
[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","H0001","N/A",66.260000000000005,1,true,true,true,true,true,1,"Medical Assistant","H0001","N/A",66.260000000000005,1]
[1,"Medical Assistant","H0003","N/A",66.260000000000005,1,true,true,true,true,true,1,"Medical Assistant","H0003","N/A",66.260000000000005,1]
[1,"Medical Assistant","H0033","N/A",66.260000000000005,1,true,true,true,true,true,1,"Medical Assistant","H0033","N/A",66.260000000000005,1]
[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","H0048","N/A",66.260000000000005,1,true,true,true,true,true,1,"Medical Assistant","H0048","N/A",66.260000000000005,1]
[1,"Medical Assistant","H0049","N/A",66.260000000000005,1,true,true,true,true,true,1,"Medical Assistant","H0049","N/A",66.260000000000005,1]
[1,"Medical Assistant","H2014","N/A",66.260000000000005,1,true,true,true,true,true,1,"Medical Assistant","H2014","N/A",66.260000000000005,1]
[1,"Medical Assistant","H2014","HQ",14.73,1,true,true,true,true,true,1,"Medical Assistant","H2014","HQ",14.73,1]
[1,"Medical Assistant","H2017","N/A",66.260000000000005,1,true,true,true,true,true,1,"Medical Assistant","H2017","N/A",66.260000000000005,1]
[1,"Medical Assistant","H2017","HQ",14.73,1,true,true,true,true,true,1,"Medical Assistant","H2017","HQ",14.73,1]
[1,"Medical Assistant","H2021","N/A",66.260000000000005,1,true,true,true,true,true,1,"Medical Assistant","H2021","N/A",66.260000000000005,1]
[1,"Medical Assistant","H2027","N/A",66.260000000000005,1,true,true,true,true,true,1,"Medical Assistant","H2027","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",66.260000000000005,1]
[1,"Medical Assistant","T2024","N/A",66.260000000000005,1,true,true,true,true,true,1,"Medical Assistant","T2024","N/A",66.260000000000005,1]
[1,"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)",90846,"N/A",391.88,1,true,true,true,true,true,1,"MFT/LPCC (Licensed, Waivered or Registered)",90846,"N/A",391.88,1]
[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)",90882,"N/A",117.57,1,true,true,true,true,true,1,"MFT/LPCC (Licensed, Waivered or Registered)",90882,"N/A",117.57,1]
[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)",90889,"N/A",117.57,1,true,true,true,true,true,1,"MFT/LPCC (Licensed, Waivered or Registered)",90889,"N/A",117.57,1]
[1,"MFT/LPCC (Licensed, Waivered or Registered)",96160,"N/A",117.57,1,true,true,true,true,true,1,"MFT/LPCC (Licensed, Waivered or Registered)",96160,"N/A",117.57,1]
[1,"MFT/LPCC (Licensed, Waivered or Registered)",96170,"N/A",235.13,1,true,true,true,true,true,1,"MFT/LPCC (Licensed, Waivered or Registered)",96170,"N/A",235.13,1]
[1,"MFT/LPCC (Licensed, Waivered or Registered)",96171,"N/A",117.57,1,true,true,true,true,true,1,"MFT/LPCC (Licensed, Waivered or Registered)",96171,"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)",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)","G0396","N/A",180.27,1,true,true,true,true,true,1,"MFT/LPCC (Licensed, Waivered or Registered)","G0396","N/A",180.27,1]
[1,"MFT/LPCC (Licensed, Waivered or Registered)","G0397","N/A",470.26,1,true,true,true,true,true,1,"MFT/LPCC (Licensed, Waivered or Registered)","G0397","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,{"$f":"EXACT(A323,L323)","v":true},{"$f":"EXACT(B323,M323)","v":true},{"$f":"EXACT(C323,N323)","v":true},{"$f":"EXACT(D323,O323)","v":true},{"$f":"EXACT(E323,P323)","v":true},1,"MFT/LPCC (Licensed, Waivered or Registered)","G0543","N/A",78.38,1]
[1,"MFT/LPCC (Licensed, Waivered or Registered)","G2011","N/A",78.38,1,true,true,true,true,true,1,"MFT/LPCC (Licensed, Waivered or Registered)","G2011","N/A",78.38,1]
[1,"MFT/LPCC (Licensed, Waivered or Registered)","H0001","N/A",117.57,1,true,true,true,true,true,1,"MFT/LPCC (Licensed, Waivered or Registered)","H0001","N/A",117.57,1]
[1,"MFT/LPCC (Licensed, Waivered or Registered)","H0004","N/A",117.57,1,true,true,true,true,true,1,"MFT/LPCC (Licensed, Waivered or Registered)","H0004","N/A",117.57,1]
[1,"MFT/LPCC (Licensed, Waivered or Registered)","H0005","N/A",26.13,1,true,true,true,true,true,1,"MFT/LPCC (Licensed, Waivered or Registered)","H0005","N/A",26.13,1]
[1,"MFT/LPCC (Licensed, Waivered or Registered)","H0007","N/A",117.57,1,true,true,true,true,true,1,"MFT/LPCC (Licensed, Waivered or Registered)","H0007","N/A",117.57,1]
[1,"MFT/LPCC (Licensed, Waivered or Registered)","H0049","N/A",117.57,{"$f":"IF(C329=\"G0323\",9,1)","v":1},true,true,true,true,true,1,"MFT/LPCC (Licensed, Waivered or Registered)","H0049","N/A",117.57,{"$f":"IF(OR(N329=\"H0036\",N329=\"G0323\"),9,1)","v":1}]
[1,"MFT/LPCC (Licensed, Waivered or Registered)","H0050","N/A",117.57,1,true,true,true,true,true,1,"MFT/LPCC (Licensed, Waivered or Registered)","H0050","N/A",117.57,1]
[1,"MFT/LPCC (Licensed, Waivered or Registered)","H1000","N/A",117.57,1,true,true,true,true,true,1,"MFT/LPCC (Licensed, Waivered or Registered)","H1000","N/A",117.57,1]
[1,"MFT/LPCC (Licensed, Waivered or Registered)","H2014","N/A",117.57,1,true,true,true,true,true,1,"MFT/LPCC (Licensed, Waivered or Registered)","H2014","N/A",117.57,1]
[1,"MFT/LPCC (Licensed, Waivered or Registered)","H2014","HQ",26.13,1,true,true,true,true,true,1,"MFT/LPCC (Licensed, Waivered or Registered)","H2014","HQ",26.13,1]
[1,"MFT/LPCC (Licensed, Waivered or Registered)","H2015","N/A",117.57,1,true,true,true,true,true,1,"MFT/LPCC (Licensed, Waivered or Registered)","H2015","N/A",117.57,1]
[1,"MFT/LPCC (Licensed, Waivered or Registered)","H2017","N/A",117.57,1,true,true,true,true,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)","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)","H2027","N/A",117.57,1,true,true,true,true,true,1,"MFT/LPCC (Licensed, Waivered or Registered)","H2027","N/A",117.57,1]
[1,"MFT/LPCC (Licensed, Waivered or Registered)","H2035","N/A",470.26,1,true,true,true,true,true,1,"MFT/LPCC (Licensed, Waivered or Registered)","H2035","N/A",470.26,1]
[1,"MFT/LPCC (Licensed, Waivered or Registered)","T1006","N/A",117.57,1,true,true,true,true,true,1,"MFT/LPCC (Licensed, Waivered or Registered)","T1006","N/A",117.57,1]
[1,"MFT/LPCC (Licensed, Waivered or Registered)","T1007","N/A",117.57,1,true,true,true,true,true,1,"MFT/LPCC (Licensed, Waivered or Registered)","T1007","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",31.88,1]
[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",90846,"N/A",748.79,1,true,true,true,true,true,1,"Nurse Practitioner",90846,"N/A",748.79,1]
[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",90865,"N/A",1347.83,1,true,true,true,true,true,1,"Nurse Practitioner",90865,"N/A",1347.83,1]
[1,"Nurse Practitioner",90882,"N/A",224.64,1,true,true,true,true,true,1,"Nurse Practitioner",90882,"N/A",224.64,1]
[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",90889,"N/A",224.64,1,true,true,true,true,true,1,"Nurse Practitioner",90889,"N/A",224.64,1]
[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",96160,"N/A",224.64,1,true,true,true,true,true,1,"Nurse Practitioner",96160,"N/A",224.64,1]
[1,"Nurse Practitioner",96170,"N/A",449.28,1,true,true,true,true,true,1,"Nurse Practitioner",96170,"N/A",449.28,1]
[1,"Nurse Practitioner",96171,"N/A",224.64,1,true,true,true,true,true,1,"Nurse Practitioner",96171,"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",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",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",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,{"$f":"EXACT(A387,L387)","v":true},{"$f":"EXACT(B387,M387)","v":true},{"$f":"EXACT(C387,N387)","v":true},{"$f":"EXACT(D387,O387)","v":true},{"$f":"EXACT(E387,P387)","v":true},1,"Nurse Practitioner",99306,"N/A",853.62,1]
[1,"Nurse Practitioner",99307,"N/A",224.64,1,true,true,true,true,true,1,"Nurse Practitioner",99307,"N/A",224.64,1]
[1,"Nurse Practitioner",99308,"N/A",374.4,1,true,true,true,true,true,1,"Nurse Practitioner",99308,"N/A",374.4,1]
[1,"Nurse Practitioner",99309,"N/A",554.11,1,true,true,true,true,true,1,"Nurse Practitioner",99309,"N/A",554.11,1]
[1,"Nurse Practitioner",99310,"N/A",778.74,1,true,true,true,true,true,1,"Nurse Practitioner",99310,"N/A",778.74,1]
[1,"Nurse Practitioner",99341,"N/A",329.47,1,true,true,true,true,true,1,"Nurse Practitioner",99341,"N/A",329.47,1]
[1,"Nurse Practitioner",99342,"N/A",673.91,{"$f":"IF(C393=\"G0323\",9,1)","v":1},true,true,true,true,true,1,"Nurse Practitioner",99342,"N/A",673.91,{"$f":"IF(OR(N393=\"H0036\",N393=\"G0323\"),9,1)","v":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",99368,"N/A",898.55,1,true,true,true,true,true,1,"Nurse Practitioner",99368,"N/A",898.55,1]
[1,"Nurse Practitioner",99408,"N/A",344.44,1,true,true,true,true,true,1,"Nurse Practitioner",99408,"N/A",344.44,1]
[1,"Nurse Practitioner",99409,"N/A",898.55,1,true,true,true,true,true,1,"Nurse Practitioner",99409,"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",99424,"N/A",449.28,1,true,true,true,true,true,1,"Nurse Practitioner",99424,"N/A",449.28,1]
[1,"Nurse Practitioner",99425,"N/A",449.28,1,true,true,true,true,true,1,"Nurse Practitioner",99425,"N/A",449.28,1]
[1,"Nurse Practitioner",99437,"N/A",449.28,1,true,true,true,true,true,1,"Nurse Practitioner",99437,"N/A",449.28,1]
[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",99491,"N/A",449.28,1,true,true,true,true,true,1,"Nurse Practitioner",99491,"N/A",449.28,1]
[1,"Nurse Practitioner",99495,"N/A",808.7,1,true,true,true,true,true,1,"Nurse Practitioner",99495,"N/A",808.7,1]
[1,"Nurse Practitioner",99496,"N/A",1123.19,1,true,true,true,true,true,1,"Nurse Practitioner",99496,"N/A",1123.19,1]
[1,"Nurse Practitioner","G0316","N/A",224.64,1,true,true,true,true,true,1,"Nurse Practitioner","G0316","N/A",224.64,1]
[1,"Nurse Practitioner","G0396","N/A",344.44,1,true,true,true,true,true,1,"Nurse Practitioner","G0396","N/A",344.44,1]
[1,"Nurse Practitioner","G0397","N/A",898.55,1,true,true,true,true,true,1,"Nurse Practitioner","G0397","N/A",898.55,1]
[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",224.64,1,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",224.64,1]
[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","G2011","N/A",149.76,1,true,true,true,true,true,1,"Nurse Practitioner","G2011","N/A",149.76,1]
[1,"Nurse Practitioner","H0001","N/A",224.64,1,true,true,true,true,true,1,"Nurse Practitioner","H0001","N/A",224.64,1]
[1,"Nurse Practitioner","H0003","N/A",224.64,1,true,true,true,true,true,1,"Nurse Practitioner","H0003","N/A",224.64,1]
[1,"Nurse Practitioner","H0004","N/A",224.64,1,true,true,true,true,true,1,"Nurse Practitioner","H0004","N/A",224.64,1]
[1,"Nurse Practitioner","H0005","N/A",49.92,1,true,true,true,true,true,1,"Nurse Practitioner","H0005","N/A",49.92,1]
[1,"Nurse Practitioner","H0007","N/A",224.64,1,true,true,true,true,true,1,"Nurse Practitioner","H0007","N/A",224.64,1]
[1,"Nurse Practitioner","H0008","N/A",224.64,1,true,true,true,true,true,1,"Nurse Practitioner","H0008","N/A",224.64,1]
[1,"Nurse Practitioner","H0009","N/A",224.64,1,true,true,true,true,true,1,"Nurse Practitioner","H0009","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","H0048","N/A",224.64,1,true,true,true,true,true,1,"Nurse Practitioner","H0048","N/A",224.64,1]
[1,"Nurse Practitioner","H0049","N/A",224.64,1,true,true,true,true,true,1,"Nurse Practitioner","H0049","N/A",224.64,1]
[1,"Nurse Practitioner","H0050","N/A",224.64,1,true,true,true,true,true,1,"Nurse Practitioner","H0050","N/A",224.64,1]
[1,"Nurse Practitioner","H1000","N/A",224.64,1,true,true,true,true,true,1,"Nurse Practitioner","H1000","N/A",224.64,1]
[1,"Nurse Practitioner","H2014","N/A",224.64,1,true,true,true,true,true,1,"Nurse Practitioner","H2014","N/A",224.64,1]
[1,"Nurse Practitioner","H2014","HQ",49.92,1,true,true,true,true,true,1,"Nurse Practitioner","H2014","HQ",49.92,1]
[1,"Nurse Practitioner","H2015","N/A",224.64,1,true,true,true,true,true,1,"Nurse Practitioner","H2015","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","H2021","N/A",224.64,1,true,true,true,true,true,1,"Nurse Practitioner","H2021","N/A",224.64,1]
[1,"Nurse Practitioner","H2027","N/A",224.64,1,true,true,true,true,true,1,"Nurse Practitioner","H2027","N/A",224.64,1]
[1,"Nurse Practitioner","H2035","N/A",898.55,1,true,true,true,true,true,1,"Nurse Practitioner","H2035","N/A",898.55,1]
[1,"Nurse Practitioner","T1006","N/A",224.64,1,true,true,true,true,true,1,"Nurse Practitioner","T1006","N/A",224.64,1]
[1,"Nurse Practitioner","T1007","N/A",224.64,1,true,true,true,true,true,1,"Nurse Practitioner","T1007","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,{"$f":"EXACT(A451,L451)","v":true},{"$f":"EXACT(B451,M451)","v":true},{"$f":"EXACT(C451,N451)","v":true},{"$f":"EXACT(D451,O451)","v":true},{"$f":"EXACT(E451,P451)","v":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",90882,"N/A",156.5,1,true,true,true,true,true,1,"Occupational Therapist",90882,"N/A",156.5,1]
[1,"Occupational Therapist",90887,"N/A",521.66,{"$f":"IF(C457=\"G0323\",9,1)","v":1},true,true,true,true,true,1,"Occupational Therapist",90887,"N/A",521.66,{"$f":"IF(OR(N457=\"H0036\",N457=\"G0323\"),9,1)","v":1}]
[1,"Occupational Therapist",90889,"N/A",156.5,1,true,true,true,true,true,1,"Occupational Therapist",90889,"N/A",156.5,1]
[1,"Occupational Therapist",96160,"N/A",156.5,1,true,true,true,true,true,1,"Occupational Therapist",96160,"N/A",156.5,1]
[1,"Occupational Therapist",96170,"N/A",313,1,true,true,true,true,true,1,"Occupational Therapist",96170,"N/A",313,1]
[1,"Occupational Therapist",96171,"N/A",156.5,1,true,true,true,true,true,1,"Occupational Therapist",96171,"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","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","H0001","N/A",156.5,1,true,true,true,true,true,1,"Occupational Therapist","H0001","N/A",156.5,1]
[1,"Occupational Therapist","H0004","N/A",156.5,1,true,true,true,true,true,1,"Occupational Therapist","H0004","N/A",156.5,1]
[1,"Occupational Therapist","H0005","N/A",34.78,1,true,true,true,true,true,1,"Occupational Therapist","H0005","N/A",34.78,1]
[1,"Occupational Therapist","H0007","N/A",156.5,1,true,true,true,true,true,1,"Occupational Therapist","H0007","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","H0050","N/A",156.5,1,true,true,true,true,true,1,"Occupational Therapist","H0050","N/A",156.5,1]
[1,"Occupational Therapist","H2014","N/A",156.5,1,true,true,true,true,true,1,"Occupational Therapist","H2014","N/A",156.5,1]
[1,"Occupational Therapist","H2014","HQ",34.78,1,true,true,true,true,true,1,"Occupational Therapist","H2014","HQ",34.78,1]
[1,"Occupational Therapist","H2015","N/A",156.5,1,true,true,true,true,true,1,"Occupational Therapist","H2015","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","H2021","N/A",156.5,1,true,true,true,true,true,1,"Occupational Therapist","H2021","N/A",156.5,1]
[1,"Occupational Therapist","H2027","N/A",156.5,1,true,true,true,true,true,1,"Occupational Therapist","H2027","N/A",156.5,1]
[1,"Occupational Therapist","T1007","N/A",156.5,1,true,true,true,true,true,1,"Occupational Therapist","T1007","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",18.32,1,true,true,true,true,true,1,"Other Qualified Practitioner",90785,"N/A",18.32,1]
[1,"Other Qualified Practitioner",90882,"N/A",88.45,1,true,true,true,true,true,1,"Other Qualified Practitioner",90882,"N/A",88.45,1]
[1,"Other Qualified Practitioner","G0396","N/A",135.63,1,true,true,true,true,true,1,"Other Qualified Practitioner","G0396","N/A",135.63,1]
[1,"Other Qualified Practitioner","G0397","N/A",353.81,1,true,true,true,true,true,1,"Other Qualified Practitioner","G0397","N/A",353.81,1]
[1,"Other Qualified Practitioner","G2011","N/A",58.97,1,true,true,true,true,true,1,"Other Qualified Practitioner","G2011","N/A",58.97,1]
[1,"Other Qualified Practitioner","H0001","N/A",88.45,1,true,true,true,true,true,1,"Other Qualified Practitioner","H0001","N/A",88.45,1]
[1,"Other Qualified Practitioner","H0049","N/A",88.45,1,true,true,true,true,true,1,"Other Qualified Practitioner","H0049","N/A",88.45,1]
[1,"Other Qualified Practitioner","H0050","N/A",88.45,1,true,true,true,true,true,1,"Other Qualified Practitioner","H0050","N/A",88.45,1]
[1,"Other Qualified Practitioner","H1000","N/A",88.45,1,true,true,true,true,true,1,"Other Qualified Practitioner","H1000","N/A",88.45,1]
[1,"Other Qualified Practitioner","H2014","N/A",88.45,1,true,true,true,true,true,1,"Other Qualified Practitioner","H2014","N/A",88.45,1]
[1,"Other Qualified Practitioner","H2014","HQ",19.66,1,true,true,true,true,true,1,"Other Qualified Practitioner","H2014","HQ",19.66,1]
[1,"Other Qualified Practitioner","H2015","N/A",88.45,1,true,true,true,true,true,1,"Other Qualified Practitioner","H2015","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",19.66,1,true,true,true,true,true,1,"Other Qualified Practitioner","H2017","HQ",19.66,1]
[1,"Other Qualified Practitioner","H2021","N/A",88.45,1,true,true,true,true,true,1,"Other Qualified Practitioner","H2021","N/A",88.45,1]
[1,"Other Qualified Practitioner","H2027","N/A",88.45,1,true,true,true,true,true,1,"Other Qualified Practitioner","H2027","N/A",88.45,1]
[1,"Other Qualified Practitioner","H2035","N/A",353.81,1,true,true,true,true,true,1,"Other Qualified Practitioner","H2035","N/A",353.81,1]
[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,"Other Qualified Practitioner","T2024","N/A",88.45,1,true,true,true,true,true,1,"Other Qualified Practitioner","T2024","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,"Peer Support Specialists","H0050","N/A",92.88,1,true,true,true,true,true,1,"Peer Support Specialists","H0050","N/A",92.88,1]
[1,"Physician Assistant",90785,"N/A",18.89,1,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",90846,"N/A",675.33,1,{"$f":"EXACT(A515,L515)","v":true},{"$f":"EXACT(B515,M515)","v":true},{"$f":"EXACT(C515,N515)","v":true},{"$f":"EXACT(D515,O515)","v":true},{"$f":"EXACT(E515,P515)","v":true},1,"Physician Assistant",90846,"N/A",675.33,1]
[1,"Physician Assistant",90847,"N/A",675.33,1,true,true,true,true,true,1,"Physician Assistant",90847,"N/A",675.33,1]
[1,"Physician Assistant",90849,"N/A",252.12,1,true,true,true,true,true,1,"Physician Assistant",90849,"N/A",252.12,1]
[1,"Physician Assistant",90865,"N/A",1215.5999999999999,1,true,true,true,true,true,1,"Physician Assistant",90865,"N/A",1215.5999999999999,1]
[1,"Physician Assistant",90882,"N/A",202.6,1,true,true,true,true,true,1,"Physician Assistant",90882,"N/A",202.6,1]
[1,"Physician Assistant",90885,"N/A",810.4,1,true,true,true,true,true,1,"Physician Assistant",90885,"N/A",810.4,1]
[1,"Physician Assistant",90887,"N/A",675.33,{"$f":"IF(C521=\"G0323\",9,1)","v":1},true,true,true,true,true,1,"Physician Assistant",90887,"N/A",675.33,{"$f":"IF(OR(N521=\"H0036\",N521=\"G0323\"),9,1)","v":1}]
[1,"Physician Assistant",90889,"N/A",202.6,1,true,true,true,true,true,1,"Physician Assistant",90889,"N/A",202.6,1]
[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",96160,"N/A",202.6,1,true,true,true,true,true,1,"Physician Assistant",96160,"N/A",202.6,1]
[1,"Physician Assistant",96170,"N/A",405.2,1,true,true,true,true,true,1,"Physician Assistant",96170,"N/A",405.2,1]
[1,"Physician Assistant",96171,"N/A",202.6,1,true,true,true,true,true,1,"Physician Assistant",96171,"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",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",216.11,1,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",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",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",99368,"N/A",810.4,1,true,true,true,true,true,1,"Physician Assistant",99368,"N/A",810.4,1]
[1,"Physician Assistant",99408,"N/A",310.64999999999998,1,true,true,true,true,true,1,"Physician Assistant",99408,"N/A",310.64999999999998,1]
[1,"Physician Assistant",99409,"N/A",810.4,1,true,true,true,true,true,1,"Physician Assistant",99409,"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",99424,"N/A",405.2,1,true,true,true,true,true,1,"Physician Assistant",99424,"N/A",405.2,1]
[1,"Physician Assistant",99425,"N/A",405.2,1,true,true,true,true,true,1,"Physician Assistant",99425,"N/A",405.2,1]
[1,"Physician Assistant",99437,"N/A",405.2,1,true,true,true,true,true,1,"Physician Assistant",99437,"N/A",405.2,1]
[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",99491,"N/A",405.2,1,true,true,true,true,true,1,"Physician Assistant",99491,"N/A",405.2,1]
[1,"Physician Assistant",99495,"N/A",729.36,1,true,true,true,true,true,1,"Physician Assistant",99495,"N/A",729.36,1]
[1,"Physician Assistant",99496,"N/A",1013,1,{"$f":"EXACT(A579,L579)","v":true},{"$f":"EXACT(B579,M579)","v":true},{"$f":"EXACT(C579,N579)","v":true},{"$f":"EXACT(D579,O579)","v":true},{"$f":"EXACT(E579,P579)","v":true},1,"Physician Assistant",99496,"N/A",1013,1]
[1,"Physician Assistant","G0316","N/A",202.6,1,true,true,true,true,true,1,"Physician Assistant","G0316","N/A",202.6,1]
[1,"Physician Assistant","G0396","N/A",310.64999999999998,1,true,true,true,true,true,1,"Physician Assistant","G0396","N/A",310.64999999999998,1]
[1,"Physician Assistant","G0397","N/A",810.4,1,true,true,true,true,true,1,"Physician Assistant","G0397","N/A",810.4,1]
[1,"Physician Assistant","G0539","N/A",310.64999999999998,1,true,true,true,true,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,{"$f":"IF(C585=\"G0323\",9,1)","v":1},true,true,true,true,true,1,"Physician Assistant","G0541","N/A",310.64999999999998,{"$f":"IF(OR(N585=\"H0036\",N585=\"G0323\"),9,1)","v":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",135.07,1]
[1,"Physician Assistant","G2011","N/A",135.07,1,true,true,true,true,true,1,"Physician Assistant","G2011","N/A",135.07,1]
[1,"Physician Assistant","H0001","N/A",202.6,1,true,true,true,true,true,1,"Physician Assistant","H0001","N/A",202.6,1]
[1,"Physician Assistant","H0003","N/A",202.6,1,true,true,true,true,true,1,"Physician Assistant","H0003","N/A",202.6,1]
[1,"Physician Assistant","H0004","N/A",202.6,1,true,true,true,true,true,1,"Physician Assistant","H0004","N/A",202.6,1]
[1,"Physician Assistant","H0005","N/A",45.02,1,true,true,true,true,true,1,"Physician Assistant","H0005","N/A",45.02,1]
[1,"Physician Assistant","H0007","N/A",202.6,1,true,true,true,true,true,1,"Physician Assistant","H0007","N/A",202.6,1]
[1,"Physician Assistant","H0008","N/A",202.6,1,true,true,true,true,true,1,"Physician Assistant","H0008","N/A",202.6,1]
[1,"Physician Assistant","H0009","N/A",202.6,1,true,true,true,true,true,1,"Physician Assistant","H0009","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",45.02,1,true,true,true,true,true,1,"Physician Assistant","H0034","HQ",45.02,1]
[1,"Physician Assistant","H0048","N/A",202.6,1,true,true,true,true,true,1,"Physician Assistant","H0048","N/A",202.6,1]
[1,"Physician Assistant","H0049","N/A",202.6,1,true,true,true,true,true,1,"Physician Assistant","H0049","N/A",202.6,1]
[1,"Physician Assistant","H0050","N/A",202.6,1,true,true,true,true,true,1,"Physician Assistant","H0050","N/A",202.6,1]
[1,"Physician Assistant","H1000","N/A",202.6,1,true,true,true,true,true,1,"Physician Assistant","H1000","N/A",202.6,1]
[1,"Physician Assistant","H2014","N/A",202.6,1,true,true,true,true,true,1,"Physician Assistant","H2014","N/A",202.6,1]
[1,"Physician Assistant","H2014","HQ",45.02,1,true,true,true,true,true,1,"Physician Assistant","H2014","HQ",45.02,1]
[1,"Physician Assistant","H2015","N/A",202.6,1,true,true,true,true,true,1,"Physician Assistant","H2015","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","H2021","N/A",202.6,1,true,true,true,true,true,1,"Physician Assistant","H2021","N/A",202.6,1]
[1,"Physician Assistant","H2027","N/A",202.6,1,true,true,true,true,true,1,"Physician Assistant","H2027","N/A",202.6,1]
[1,"Physician Assistant","H2035","N/A",810.4,1,true,true,true,true,true,1,"Physician Assistant","H2035","N/A",810.4,1]
[1,"Physician Assistant","T1006","N/A",202.6,1,true,true,true,true,true,1,"Physician Assistant","T1006","N/A",202.6,1]
[1,"Physician Assistant","T1007","N/A",202.6,1,true,true,true,true,true,1,"Physician Assistant","T1007","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)",90846,"N/A",605.58000000000004,1,true,true,true,true,true,1,"Psychologist (Licensed or Waivered)",90846,"N/A",605.58000000000004,1]
[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)",90882,"N/A",181.67,1,true,true,true,true,true,1,"Psychologist (Licensed or Waivered)",90882,"N/A",181.67,1]
[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)",90889,"N/A",181.67,1,true,true,true,true,true,1,"Psychologist (Licensed or Waivered)",90889,"N/A",181.67,1]
[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)",96160,"N/A",181.67,1,true,true,true,true,true,1,"Psychologist (Licensed or Waivered)",96160,"N/A",181.67,1]
[1,"Psychologist (Licensed or Waivered)",96170,"N/A",363.35,1,true,true,true,true,true,1,"Psychologist (Licensed or Waivered)",96170,"N/A",363.35,1]
[1,"Psychologist (Licensed or Waivered)",96171,"N/A",181.67,1,true,true,true,true,true,1,"Psychologist (Licensed or Waivered)",96171,"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,true,true,true,true,true,1,"Psychologist (Licensed or Waivered)",98968,"N/A",314.89999999999998,1]
[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)","G0396","N/A",278.56,1,true,true,true,true,true,1,"Psychologist (Licensed or Waivered)","G0396","N/A",278.56,1]
[1,"Psychologist (Licensed or Waivered)","G0397","N/A",726.69,1,{"$f":"EXACT(A643,L643)","v":true},{"$f":"EXACT(B643,M643)","v":true},{"$f":"EXACT(C643,N643)","v":true},{"$f":"EXACT(D643,O643)","v":true},{"$f":"EXACT(E643,P643)","v":true},1,"Psychologist (Licensed or Waivered)","G0397","N/A",726.69,1]
[1,"Psychologist (Licensed or Waivered)","G0539","N/A",278.56,1,true,true,true,true,true,1,"Psychologist (Licensed or Waivered)","G0539","N/A",278.56,1]
[1,"Psychologist (Licensed or Waivered)","G0540","N/A",181.67,1,true,true,true,true,true,1,"Psychologist (Licensed or Waivered)","G0540","N/A",181.67,1]
[1,"Psychologist (Licensed or Waivered)","G0541","N/A",278.56,1,true,true,true,true,true,1,"Psychologist (Licensed or Waivered)","G0541","N/A",278.56,1]
[1,"Psychologist (Licensed or Waivered)","G0542","N/A",181.67,1,true,true,true,true,true,1,"Psychologist (Licensed or Waivered)","G0542","N/A",181.67,1]
[1,"Psychologist (Licensed or Waivered)","G0543","N/A",121.12,1,true,true,true,true,true,1,"Psychologist (Licensed or Waivered)","G0543","N/A",121.12,1]
[1,"Psychologist (Licensed or Waivered)","G2011","N/A",121.12,{"$f":"IF(C649=\"G0323\",9,1)","v":1},true,true,true,true,true,1,"Psychologist (Licensed or Waivered)","G2011","N/A",121.12,{"$f":"IF(OR(N649=\"H0036\",N649=\"G0323\"),9,1)","v":1}]
[1,"Psychologist (Licensed or Waivered)","H0001","N/A",181.67,1,true,true,true,true,true,1,"Psychologist (Licensed or Waivered)","H0001","N/A",181.67,1]
[1,"Psychologist (Licensed or Waivered)","H0003","N/A",181.67,1,true,true,true,true,true,1,"Psychologist (Licensed or Waivered)","H0003","N/A",181.67,1]
[1,"Psychologist (Licensed or Waivered)","H0004","N/A",181.67,1,true,true,true,true,true,1,"Psychologist (Licensed or Waivered)","H0004","N/A",181.67,1]
[1,"Psychologist (Licensed or Waivered)","H0005","N/A",40.369999999999997,1,true,true,true,true,true,1,"Psychologist (Licensed or Waivered)","H0005","N/A",40.369999999999997,1]
[1,"Psychologist (Licensed or Waivered)","H0007","N/A",181.67,1,true,true,true,true,true,1,"Psychologist (Licensed or Waivered)","H0007","N/A",181.67,1]
[1,"Psychologist (Licensed or Waivered)","H0049","N/A",181.67,1,true,true,true,true,true,1,"Psychologist (Licensed or Waivered)","H0049","N/A",181.67,1]
[1,"Psychologist (Licensed or Waivered)","H0050","N/A",181.67,1,true,true,true,true,true,1,"Psychologist (Licensed or Waivered)","H0050","N/A",181.67,1]
[1,"Psychologist (Licensed or Waivered)","H1000","N/A",181.67,1,true,true,true,true,true,1,"Psychologist (Licensed or Waivered)","H1000","N/A",181.67,1]
[1,"Psychologist (Licensed or Waivered)","H2014","N/A",181.67,1,true,true,true,true,true,1,"Psychologist (Licensed or Waivered)","H2014","N/A",181.67,1]
[1,"Psychologist (Licensed or Waivered)","H2014","HQ",40.369999999999997,1,true,true,true,true,true,1,"Psychologist (Licensed or Waivered)","H2014","HQ",40.369999999999997,1]
[1,"Psychologist (Licensed or Waivered)","H2027","N/A",181.67,1,true,true,true,true,true,1,"Psychologist (Licensed or Waivered)","H2027","N/A",181.67,1]
[1,"Psychologist (Licensed or Waivered)","H2035","N/A",726.69,1,true,true,true,true,true,1,"Psychologist (Licensed or Waivered)","H2035","N/A",726.69,1]
[1,"Psychologist (Licensed or Waivered)","T1006","N/A",181.67,1,true,true,true,true,true,1,"Psychologist (Licensed or Waivered)","T1006","N/A",181.67,1]
[1,"Psychologist (Licensed or Waivered)","T1007","N/A",181.67,1,true,true,true,true,true,1,"Psychologist (Licensed or Waivered)","T1007","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",90882,"N/A",183.49,1,true,true,true,true,true,1,"Registered Nurse",90882,"N/A",183.49,1]
[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",90889,"N/A",183.49,1,true,true,true,true,true,1,"Registered Nurse",90889,"N/A",183.49,1]
[1,"Registered Nurse",96160,"N/A",183.49,1,true,true,true,true,true,1,"Registered Nurse",96160,"N/A",183.49,1]
[1,"Registered Nurse",96170,"N/A",366.98,1,true,true,true,true,true,1,"Registered Nurse",96170,"N/A",366.98,1]
[1,"Registered Nurse",96171,"N/A",183.49,1,true,true,true,true,true,1,"Registered Nurse",96171,"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",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",99238,"N/A",366.98,1,true,true,true,true,true,1,"Registered Nurse",99238,"N/A",366.98,1]
[1,"Registered Nurse",99239,"N/A",733.96,1,true,true,true,true,true,1,"Registered Nurse",99239,"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",99424,"N/A",366.98,1,true,true,true,true,true,1,"Registered Nurse",99424,"N/A",366.98,1]
[1,"Registered Nurse",99425,"N/A",366.98,1,true,true,true,true,true,1,"Registered Nurse",99425,"N/A",366.98,1]
[1,"Registered Nurse",99437,"N/A",366.98,1,true,true,true,true,true,1,"Registered Nurse",99437,"N/A",366.98,1]
[1,"Registered Nurse",99491,"N/A",366.98,1,true,true,true,true,true,1,"Registered Nurse",99491,"N/A",366.98,1]
[1,"Registered Nurse","G0396","N/A",281.35000000000002,1,true,true,true,true,true,1,"Registered Nurse","G0396","N/A",281.35000000000002,1]
[1,"Registered Nurse","G0397","N/A",733.96,1,true,true,true,true,true,1,"Registered Nurse","G0397","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","G2011","N/A",122.33,1,true,true,true,true,true,1,"Registered Nurse","G2011","N/A",122.33,1]
[1,"Registered Nurse","H0001","N/A",183.49,1,true,true,true,true,true,1,"Registered Nurse","H0001","N/A",183.49,1]
[1,"Registered Nurse","H0003","N/A",183.49,1,true,true,true,true,true,1,"Registered Nurse","H0003","N/A",183.49,1]
[1,"Registered Nurse","H0004","N/A",183.49,1,true,true,true,true,true,1,"Registered Nurse","H0004","N/A",183.49,1]
[1,"Registered Nurse","H0005","N/A",40.78,1,true,true,true,true,true,1,"Registered Nurse","H0005","N/A",40.78,1]
[1,"Registered Nurse","H0007","N/A",183.49,1,true,true,true,true,true,1,"Registered Nurse","H0007","N/A",183.49,1]
[1,"Registered Nurse","H0008","N/A",183.49,1,true,true,true,true,true,1,"Registered Nurse","H0008","N/A",183.49,1]
[1,"Registered Nurse","H0009","N/A",183.49,1,true,true,true,true,true,1,"Registered Nurse","H0009","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","H0048","N/A",183.49,1,{"$f":"EXACT(A707,L707)","v":true},{"$f":"EXACT(B707,M707)","v":true},{"$f":"EXACT(C707,N707)","v":true},{"$f":"EXACT(D707,O707)","v":true},{"$f":"EXACT(E707,P707)","v":true},1,"Registered Nurse","H0048","N/A",183.49,1]
[1,"Registered Nurse","H0049","N/A",183.49,1,true,true,true,true,true,1,"Registered Nurse","H0049","N/A",183.49,1]
[1,"Registered Nurse","H0050","N/A",183.49,1,true,true,true,true,true,1,"Registered Nurse","H0050","N/A",183.49,1]
[1,"Registered Nurse","H1000","N/A",183.49,1,true,true,true,true,true,1,"Registered Nurse","H1000","N/A",183.49,1]
[1,"Registered Nurse","H2014","N/A",183.49,1,true,true,true,true,true,1,"Registered Nurse","H2014","N/A",183.49,1]
[1,"Registered Nurse","H2014","HQ",40.78,1,true,true,true,true,true,1,"Registered Nurse","H2014","HQ",40.78,1]
[1,"Registered Nurse","H2015","N/A",183.49,{"$f":"IF(C713=\"G0323\",9,1)","v":1},true,true,true,true,true,1,"Registered Nurse","H2015","N/A",183.49,{"$f":"IF(OR(N713=\"H0036\",N713=\"G0323\"),9,1)","v":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","T1006","N/A",183.49,1,true,true,true,true,true,1,"Registered Nurse","T1006","N/A",183.49,1]
[1,"Registered Nurse","T1007","N/A",183.49,1,true,true,true,true,true,1,"Registered Nurse","T1007","N/A",183.49,1]
[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",720.78,1,true,true,true,true,true,1,"Registered Pharmacist",90887,"N/A",720.78,1]
[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",99368,"N/A",864.94,1,true,true,true,true,true,1,"Registered Pharmacist",99368,"N/A",864.94,1]
[1,"Registered Pharmacist","G0396","N/A",331.56,1,true,true,true,true,true,1,"Registered Pharmacist","G0396","N/A",331.56,1]
[1,"Registered Pharmacist","G0397","N/A",864.94,1,true,true,true,true,true,1,"Registered Pharmacist","G0397","N/A",864.94,1]
[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","G2011","N/A",144.16,1,true,true,true,true,true,1,"Registered Pharmacist","G2011","N/A",144.16,1]
[1,"Registered Pharmacist","H0001","N/A",216.24,1,true,true,true,true,true,1,"Registered Pharmacist","H0001","N/A",216.24,1]
[1,"Registered Pharmacist","H0003","N/A",216.24,1,true,true,true,true,true,1,"Registered Pharmacist","H0003","N/A",216.24,1]
[1,"Registered Pharmacist","H0008","N/A",216.24,1,true,true,true,true,true,1,"Registered Pharmacist","H0008","N/A",216.24,1]
[1,"Registered Pharmacist","H0009","N/A",216.24,1,true,true,true,true,true,1,"Registered Pharmacist","H0009","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","H0048","N/A",216.24,1,true,true,true,true,true,1,"Registered Pharmacist","H0048","N/A",216.24,1]
[1,"Registered Pharmacist","H0049","N/A",216.24,1,true,true,true,true,true,1,"Registered Pharmacist","H0049","N/A",216.24,1]
[1,"Registered Pharmacist","H0050","N/A",216.24,1,true,true,true,true,true,1,"Registered Pharmacist","H0050","N/A",216.24,1]
[1,"Registered Pharmacist","H1000","N/A",216.24,1,true,true,true,true,true,1,"Registered Pharmacist","H1000","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","H2021","N/A",216.24,1,true,true,true,true,true,1,"Registered Pharmacist","H2021","N/A",216.24,1]
[1,"Registered Pharmacist","H2035","N/A",864.94,1,true,true,true,true,true,1,"Registered Pharmacist","H2035","N/A",864.94,1]
[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]
[7,"Certified AOD Counselor",90785,"N/A",18.89,1,true,true,true,true,true,7,"Certified AOD Counselor",90785,"N/A",18.89,1]
[7,"Certified AOD Counselor",90882,"N/A",85.47,1,true,true,true,true,true,7,"Certified AOD Counselor",90882,"N/A",85.47,1]
[7,"Certified AOD Counselor","G0396","N/A",131.05000000000001,1,true,true,true,true,true,7,"Certified AOD Counselor","G0396","N/A",131.05000000000001,1]
[7,"Certified AOD Counselor","G0397","N/A",341.86,1,true,true,true,true,true,7,"Certified AOD Counselor","G0397","N/A",341.86,1]
[7,"Certified AOD Counselor","G2011","N/A",56.98,1,true,true,true,true,true,7,"Certified AOD Counselor","G2011","N/A",56.98,1]
[7,"Certified AOD Counselor","H0001","N/A",85.47,1,true,true,true,true,true,7,"Certified AOD Counselor","H0001","N/A",85.47,1]
[7,"Certified AOD Counselor","H0004","N/A",85.47,1,true,true,true,true,true,7,"Certified AOD Counselor","H0004","N/A",85.47,1]
[7,"Certified AOD Counselor","H0005","N/A",18.989999999999998,1,true,true,true,true,true,7,"Certified AOD Counselor","H0005","N/A",18.989999999999998,1]
[7,"Certified AOD Counselor","H0007","N/A",85.47,1,true,true,true,true,true,7,"Certified AOD Counselor","H0007","N/A",85.47,1]
[7,"Certified AOD Counselor","H0049","N/A",85.47,1,true,true,true,true,true,7,"Certified AOD Counselor","H0049","N/A",85.47,1]
[7,"Certified AOD Counselor","H0050","N/A",85.47,1,true,true,true,true,true,7,"Certified AOD Counselor","H0050","N/A",85.47,1]
[7,"Certified AOD Counselor","H1000","N/A",85.47,1,true,true,true,true,true,7,"Certified AOD Counselor","H1000","N/A",85.47,1]
[7,"Certified AOD Counselor","H2014","N/A",85.47,1,true,true,true,true,true,7,"Certified AOD Counselor","H2014","N/A",85.47,1]
[7,"Certified AOD Counselor","H2014","HQ",18.989999999999998,1,true,true,true,true,true,7,"Certified AOD Counselor","H2014","HQ",18.989999999999998,1]
[7,"Certified AOD Counselor","H2015","N/A",85.47,1,true,true,true,true,true,7,"Certified AOD Counselor","H2015","N/A",85.47,1]
[7,"Certified AOD Counselor","H2017","N/A",85.47,1,true,true,true,true,true,7,"Certified AOD Counselor","H2017","N/A",85.47,1]
[7,"Certified AOD Counselor","H2017","HQ",18.989999999999998,1,true,true,true,true,true,7,"Certified AOD Counselor","H2017","HQ",18.989999999999998,1]
[7,"Certified AOD Counselor","H2021","N/A",85.47,1,true,true,true,true,true,7,"Certified AOD Counselor","H2021","N/A",85.47,1]
[7,"Certified AOD Counselor","H2027","N/A",85.47,1,{"$f":"EXACT(A771,L771)","v":true},{"$f":"EXACT(B771,M771)","v":true},{"$f":"EXACT(C771,N771)","v":true},{"$f":"EXACT(D771,O771)","v":true},{"$f":"EXACT(E771,P771)","v":true},7,"Certified AOD Counselor","H2027","N/A",85.47,1]
[7,"Certified AOD Counselor","H2035","N/A",341.86,1,true,true,true,true,true,7,"Certified AOD Counselor","H2035","N/A",341.86,1]
[7,"Certified AOD Counselor","T1006","N/A",85.47,1,true,true,true,true,true,7,"Certified AOD Counselor","T1006","N/A",85.47,1]
[7,"Certified AOD Counselor","T1007","N/A",85.47,1,true,true,true,true,true,7,"Certified AOD Counselor","T1007","N/A",85.47,1]
[7,"Certified AOD Counselor","T1013","N/A",31.88,1,true,true,true,true,true,7,"Certified AOD Counselor","T1013","N/A",31.88,1]
[7,"Certified AOD Counselor","T1017","N/A",85.47,1,true,true,true,true,true,7,"Certified AOD Counselor","T1017","N/A",85.47,1]
[7,"Certified AOD Counselor","T2024","N/A",85.47,{"$f":"IF(C777=\"G0323\",9,1)","v":1},true,true,true,true,true,7,"Certified AOD Counselor","T2024","N/A",85.47,{"$f":"IF(OR(N777=\"H0036\",N777=\"G0323\"),9,1)","v":1}]
[7,"Community Health Worker",98960,"N/A",158.91999999999999,1,true,true,true,true,true,7,"Community Health Worker",98960,"N/A",158.91999999999999,1]
[7,"Community Health Worker",98961,"N/A",52.97,1,true,true,true,true,true,7,"Community Health Worker",98961,"N/A",52.97,1]
[7,"Community Health Worker",98962,"N/A",24.45,1,true,true,true,true,true,7,"Community Health Worker",98962,"N/A",24.45,1]
[7,"Community Health Worker","G0019","N/A",317.83,1,true,true,true,true,true,7,"Community Health Worker","G0019","N/A",317.83,1]
[7,"Community Health Worker","G0022","N/A",158.91999999999999,1,true,true,true,true,true,7,"Community Health Worker","G0022","N/A",158.91999999999999,1]
[7,"LCSW (Licensed, Waivered or Registered)",90785,"N/A",18.89,1,true,true,true,true,true,7,"LCSW (Licensed, Waivered or Registered)",90785,"N/A",18.89,1]
[7,"LCSW (Licensed, Waivered or Registered)",90791,"N/A",412.14,1,true,true,true,true,true,7,"LCSW (Licensed, Waivered or Registered)",90791,"N/A",412.14,1]
[7,"LCSW (Licensed, Waivered or Registered)",90846,"N/A",343.45,1,true,true,true,true,true,7,"LCSW (Licensed, Waivered or Registered)",90846,"N/A",343.45,1]
[7,"LCSW (Licensed, Waivered or Registered)",90847,"N/A",343.45,1,true,true,true,true,true,7,"LCSW (Licensed, Waivered or Registered)",90847,"N/A",343.45,1]
[7,"LCSW (Licensed, Waivered or Registered)",90849,"N/A",128.22,1,true,true,true,true,true,7,"LCSW (Licensed, Waivered or Registered)",90849,"N/A",128.22,1]
[7,"LCSW (Licensed, Waivered or Registered)",90882,"N/A",103.04,1,true,true,true,true,true,7,"LCSW (Licensed, Waivered or Registered)",90882,"N/A",103.04,1]
[7,"LCSW (Licensed, Waivered or Registered)",90885,"N/A",412.14,1,true,true,true,true,true,7,"LCSW (Licensed, Waivered or Registered)",90885,"N/A",412.14,1]
[7,"LCSW (Licensed, Waivered or Registered)",90887,"N/A",343.45,1,true,true,true,true,true,7,"LCSW (Licensed, Waivered or Registered)",90887,"N/A",343.45,1]
[7,"LCSW (Licensed, Waivered or Registered)",90889,"N/A",103.04,1,true,true,true,true,true,7,"LCSW (Licensed, Waivered or Registered)",90889,"N/A",103.04,1]
[7,"LCSW (Licensed, Waivered or Registered)",96160,"N/A",103.04,1,true,true,true,true,true,7,"LCSW (Licensed, Waivered or Registered)",96160,"N/A",103.04,1]
[7,"LCSW (Licensed, Waivered or Registered)",96170,"N/A",206.07,1,true,true,true,true,true,7,"LCSW (Licensed, Waivered or Registered)",96170,"N/A",206.07,1]
[7,"LCSW (Licensed, Waivered or Registered)",96171,"N/A",103.04,1,true,true,true,true,true,7,"LCSW (Licensed, Waivered or Registered)",96171,"N/A",103.04,1]
[7,"LCSW (Licensed, Waivered or Registered)",96202,"N/A",91.59,1,true,true,true,true,true,7,"LCSW (Licensed, Waivered or Registered)",96202,"N/A",91.59,1]
[7,"LCSW (Licensed, Waivered or Registered)",96203,"N/A",22.9,1,true,true,true,true,true,7,"LCSW (Licensed, Waivered or Registered)",96203,"N/A",22.9,1]
[7,"LCSW (Licensed, Waivered or Registered)",97550,"N/A",157.99,1,true,true,true,true,true,7,"LCSW (Licensed, Waivered or Registered)",97550,"N/A",157.99,1]
[7,"LCSW (Licensed, Waivered or Registered)",97551,"N/A",103.04,1,true,true,true,true,true,7,"LCSW (Licensed, Waivered or Registered)",97551,"N/A",103.04,1]
[7,"LCSW (Licensed, Waivered or Registered)",97552,"N/A",68.69,1,true,true,true,true,true,7,"LCSW (Licensed, Waivered or Registered)",97552,"N/A",68.69,1]
[7,"LCSW (Licensed, Waivered or Registered)",98966,"N/A",54.95,1,true,true,true,true,true,7,"LCSW (Licensed, Waivered or Registered)",98966,"N/A",54.95,1]
[7,"LCSW (Licensed, Waivered or Registered)",98967,"N/A",109.9,1,true,true,true,true,true,7,"LCSW (Licensed, Waivered or Registered)",98967,"N/A",109.9,1]
[7,"LCSW (Licensed, Waivered or Registered)",98968,"N/A",178.59,1,true,true,true,true,true,7,"LCSW (Licensed, Waivered or Registered)",98968,"N/A",178.59,1]
[7,"LCSW (Licensed, Waivered or Registered)",99368,"N/A",412.14,1,true,true,true,true,true,7,"LCSW (Licensed, Waivered or Registered)",99368,"N/A",412.14,1]
[7,"LCSW (Licensed, Waivered or Registered)","G0396","N/A",157.99,1,true,true,true,true,true,7,"LCSW (Licensed, Waivered or Registered)","G0396","N/A",157.99,1]
[7,"LCSW (Licensed, Waivered or Registered)","G0397","N/A",412.14,1,true,true,true,true,true,7,"LCSW (Licensed, Waivered or Registered)","G0397","N/A",412.14,1]
[7,"LCSW (Licensed, Waivered or Registered)","G0539","N/A",157.99,1,true,true,true,true,true,7,"LCSW (Licensed, Waivered or Registered)","G0539","N/A",157.99,1]
[7,"LCSW (Licensed, Waivered or Registered)","G0540","N/A",103.04,1,true,true,true,true,true,7,"LCSW (Licensed, Waivered or Registered)","G0540","N/A",103.04,1]
[7,"LCSW (Licensed, Waivered or Registered)","G0541","N/A",157.99,1,true,true,true,true,true,7,"LCSW (Licensed, Waivered or Registered)","G0541","N/A",157.99,1]
[7,"LCSW (Licensed, Waivered or Registered)","G0542","N/A",103.04,1,true,true,true,true,true,7,"LCSW (Licensed, Waivered or Registered)","G0542","N/A",103.04,1]
[7,"LCSW (Licensed, Waivered or Registered)","G0543","N/A",68.69,1,true,true,true,true,true,7,"LCSW (Licensed, Waivered or Registered)","G0543","N/A",68.69,1]
[7,"LCSW (Licensed, Waivered or Registered)","G2011","N/A",68.69,1,true,true,true,true,true,7,"LCSW (Licensed, Waivered or Registered)","G2011","N/A",68.69,1]
[7,"LCSW (Licensed, Waivered or Registered)","H0001","N/A",103.04,1,true,true,true,true,true,7,"LCSW (Licensed, Waivered or Registered)","H0001","N/A",103.04,1]
[7,"LCSW (Licensed, Waivered or Registered)","H0004","N/A",103.04,1,true,true,true,true,true,7,"LCSW (Licensed, Waivered or Registered)","H0004","N/A",103.04,1]
[7,"LCSW (Licensed, Waivered or Registered)","H0005","N/A",22.9,1,true,true,true,true,true,7,"LCSW (Licensed, Waivered or Registered)","H0005","N/A",22.9,1]
[7,"LCSW (Licensed, Waivered or Registered)","H0007","N/A",103.04,1,true,true,true,true,true,7,"LCSW (Licensed, Waivered or Registered)","H0007","N/A",103.04,1]
[7,"LCSW (Licensed, Waivered or Registered)","H0049","N/A",103.04,1,true,true,true,true,true,7,"LCSW (Licensed, Waivered or Registered)","H0049","N/A",103.04,1]
[7,"LCSW (Licensed, Waivered or Registered)","H0050","N/A",103.04,1,true,true,true,true,true,7,"LCSW (Licensed, Waivered or Registered)","H0050","N/A",103.04,1]
[7,"LCSW (Licensed, Waivered or Registered)","H1000","N/A",103.04,1,true,true,true,true,true,7,"LCSW (Licensed, Waivered or Registered)","H1000","N/A",103.04,1]
[7,"LCSW (Licensed, Waivered or Registered)","H2014","N/A",103.04,1,true,true,true,true,true,7,"LCSW (Licensed, Waivered or Registered)","H2014","N/A",103.04,1]
[7,"LCSW (Licensed, Waivered or Registered)","H2014","HQ",22.9,1,true,true,true,true,true,7,"LCSW (Licensed, Waivered or Registered)","H2014","HQ",22.9,1]
[7,"LCSW (Licensed, Waivered or Registered)","H2015","N/A",103.04,1,true,true,true,true,true,7,"LCSW (Licensed, Waivered or Registered)","H2015","N/A",103.04,1]
[7,"LCSW (Licensed, Waivered or Registered)","H2017","N/A",103.04,1,true,true,true,true,true,7,"LCSW (Licensed, Waivered or Registered)","H2017","N/A",103.04,1]
[7,"LCSW (Licensed, Waivered or Registered)","H2017","HQ",22.9,1,true,true,true,true,true,7,"LCSW (Licensed, Waivered or Registered)","H2017","HQ",22.9,1]
[7,"LCSW (Licensed, Waivered or Registered)","H2021","N/A",103.04,1,true,true,true,true,true,7,"LCSW (Licensed, Waivered or Registered)","H2021","N/A",103.04,1]
[7,"LCSW (Licensed, Waivered or Registered)","H2027","N/A",103.04,1,true,true,true,true,true,7,"LCSW (Licensed, Waivered or Registered)","H2027","N/A",103.04,1]
[7,"LCSW (Licensed, Waivered or Registered)","H2035","N/A",412.14,1,true,true,true,true,true,7,"LCSW (Licensed, Waivered or Registered)","H2035","N/A",412.14,1]
[7,"LCSW (Licensed, Waivered or Registered)","T1006","N/A",103.04,1,true,true,true,true,true,7,"LCSW (Licensed, Waivered or Registered)","T1006","N/A",103.04,1]
[7,"LCSW (Licensed, Waivered or Registered)","T1007","N/A",103.04,1,true,true,true,true,true,7,"LCSW (Licensed, Waivered or Registered)","T1007","N/A",103.04,1]
[7,"LCSW (Licensed, Waivered or Registered)","T1013","N/A",31.88,1,true,true,true,true,true,7,"LCSW (Licensed, Waivered or Registered)","T1013","N/A",31.88,1]
[7,"LCSW (Licensed, Waivered or Registered)","T1017","N/A",103.04,1,true,true,true,true,true,7,"LCSW (Licensed, Waivered or Registered)","T1017","N/A",103.04,1]
[7,"LCSW (Licensed, Waivered or Registered)","T2021","N/A",103.04,1,true,true,true,true,true,7,"LCSW (Licensed, Waivered or Registered)","T2021","N/A",103.04,1]
[7,"LCSW (Licensed, Waivered or Registered)","T2021","HQ",22.9,1,true,true,true,true,true,7,"LCSW (Licensed, Waivered or Registered)","T2021","HQ",22.9,1]
[7,"LCSW (Licensed, Waivered or Registered)","T2021",22,106.05,1,true,true,true,true,true,7,"LCSW (Licensed, Waivered or Registered)","T2021",22,106.05,1]
[7,"LCSW (Licensed, Waivered or Registered)","T2024","N/A",103.04,1,true,true,true,true,true,7,"LCSW (Licensed, Waivered or Registered)","T2024","N/A",103.04,1]
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[7,"Licensed Physician",90791,"N/A",1583.6,1,true,true,true,true,true,7,"Licensed Physician",90791,"N/A",1583.6,1]
[7,"Licensed Physician",90792,"N/A",1583.6,1,true,true,true,true,true,7,"Licensed Physician",90792,"N/A",1583.6,1]
[7,"Licensed Physician",90846,"N/A",1319.67,1,true,true,true,true,true,7,"Licensed Physician",90846,"N/A",1319.67,1]
[7,"Licensed Physician",90847,"N/A",1319.67,1,true,true,true,true,true,7,"Licensed Physician",90847,"N/A",1319.67,1]
[7,"Licensed Physician",90849,"N/A",492.68,1,true,true,true,true,true,7,"Licensed Physician",90849,"N/A",492.68,1]
[7,"Licensed Physician",90865,"N/A",2375.4,{"$f":"IF(C841=\"G0323\",9,1)","v":1},true,true,true,true,true,7,"Licensed Physician",90865,"N/A",2375.4,{"$f":"IF(OR(N841=\"H0036\",N841=\"G0323\"),9,1)","v":1}]
[7,"Licensed Physician",90882,"N/A",395.9,1,true,true,true,true,true,7,"Licensed Physician",90882,"N/A",395.9,1]
[7,"Licensed Physician",90885,"N/A",1583.6,1,true,true,true,true,true,7,"Licensed Physician",90885,"N/A",1583.6,1]
[7,"Licensed Physician",90887,"N/A",1319.67,1,true,true,true,true,true,7,"Licensed Physician",90887,"N/A",1319.67,1]
[7,"Licensed Physician",90889,"N/A",395.9,1,true,true,true,true,true,7,"Licensed Physician",90889,"N/A",395.9,1]
[7,"Licensed Physician",96130,"N/A",1583.6,1,true,true,true,true,true,7,"Licensed Physician",96130,"N/A",1583.6,1]
[7,"Licensed Physician",96131,"N/A",1583.6,1,true,true,true,true,true,7,"Licensed Physician",96131,"N/A",1583.6,1]
[7,"Licensed Physician",96160,"N/A",395.9,1,true,true,true,true,true,7,"Licensed Physician",96160,"N/A",395.9,1]
[7,"Licensed Physician",96170,"N/A",791.8,1,true,true,true,true,true,7,"Licensed Physician",96170,"N/A",791.8,1]
[7,"Licensed Physician",96171,"N/A",395.9,1,true,true,true,true,true,7,"Licensed Physician",96171,"N/A",395.9,1]
[7,"Licensed Physician",96202,"N/A",351.91,1,true,true,true,true,true,7,"Licensed Physician",96202,"N/A",351.91,1]
[7,"Licensed Physician",96203,"N/A",87.98,1,true,true,true,true,true,7,"Licensed Physician",96203,"N/A",87.98,1]
[7,"Licensed Physician",97550,"N/A",607.04999999999995,1,true,true,true,true,true,7,"Licensed Physician",97550,"N/A",607.04999999999995,1]
[7,"Licensed Physician",97551,"N/A",395.9,1,true,true,true,true,true,7,"Licensed Physician",97551,"N/A",395.9,1]
[7,"Licensed Physician",97552,"N/A",263.93,1,true,true,true,true,true,7,"Licensed Physician",97552,"N/A",263.93,1]
[7,"Licensed Physician",99202,"N/A",580.65,1,true,true,true,true,true,7,"Licensed Physician",99202,"N/A",580.65,1]
[7,"Licensed Physician",99203,"N/A",976.55,1,true,true,true,true,true,7,"Licensed Physician",99203,"N/A",976.55,1]
[7,"Licensed Physician",99204,"N/A",1372.45,1,true,true,true,true,true,7,"Licensed Physician",99204,"N/A",1372.45,1]
[7,"Licensed Physician",99205,"N/A",1768.35,1,true,true,true,true,true,7,"Licensed Physician",99205,"N/A",1768.35,1]
[7,"Licensed Physician",99212,"N/A",395.9,1,true,true,true,true,true,7,"Licensed Physician",99212,"N/A",395.9,1]
[7,"Licensed Physician",99213,"N/A",659.83,1,true,true,true,true,true,7,"Licensed Physician",99213,"N/A",659.83,1]
[7,"Licensed Physician",99214,"N/A",923.77,1,true,true,true,true,true,7,"Licensed Physician",99214,"N/A",923.77,1]
[7,"Licensed Physician",99215,"N/A",1240.49,1,true,true,true,true,true,7,"Licensed Physician",99215,"N/A",1240.49,1]
[7,"Licensed Physician",99234,"N/A",1504.42,1,true,true,true,true,true,7,"Licensed Physician",99234,"N/A",1504.42,1]
[7,"Licensed Physician",99235,"N/A",2032.29,1,true,true,true,true,true,7,"Licensed Physician",99235,"N/A",2032.29,1]
[7,"Licensed Physician",99236,"N/A",2428.19,1,true,true,true,true,true,7,"Licensed Physician",99236,"N/A",2428.19,1]
[7,"Licensed Physician",99238,"N/A",791.8,1,true,true,true,true,true,7,"Licensed Physician",99238,"N/A",791.8,1]
[7,"Licensed Physician",99239,"N/A",1583.6,1,true,true,true,true,true,7,"Licensed Physician",99239,"N/A",1583.6,1]
[7,"Licensed Physician",99304,"N/A",791.8,1,true,true,true,true,true,7,"Licensed Physician",99304,"N/A",791.8,1]
[7,"Licensed Physician",99305,"N/A",1108.52,1,true,true,true,true,true,7,"Licensed Physician",99305,"N/A",1108.52,1]
[7,"Licensed Physician",99306,"N/A",1504.42,1,true,true,true,true,true,7,"Licensed Physician",99306,"N/A",1504.42,1]
[7,"Licensed Physician",99307,"N/A",395.9,1,true,true,true,true,true,7,"Licensed Physician",99307,"N/A",395.9,1]
[7,"Licensed Physician",99308,"N/A",659.83,1,true,true,true,true,true,7,"Licensed Physician",99308,"N/A",659.83,1]
[7,"Licensed Physician",99309,"N/A",976.55,1,true,true,true,true,true,7,"Licensed Physician",99309,"N/A",976.55,1]
[7,"Licensed Physician",99310,"N/A",1372.45,1,true,true,true,true,true,7,"Licensed Physician",99310,"N/A",1372.45,1]
[7,"Licensed Physician",99341,"N/A",580.65,1,true,true,true,true,true,7,"Licensed Physician",99341,"N/A",580.65,1]
[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",99344,"N/A",1768.35,1,true,true,true,true,true,7,"Licensed Physician",99344,"N/A",1768.35,1]
[7,"Licensed Physician",99345,"N/A",2164.25,1,true,true,true,true,true,7,"Licensed Physician",99345,"N/A",2164.25,1]
[7,"Licensed Physician",99347,"N/A",659.83,1,true,true,true,true,true,7,"Licensed Physician",99347,"N/A",659.83,1]
[7,"Licensed Physician",99348,"N/A",923.77,1,true,true,true,true,true,7,"Licensed Physician",99348,"N/A",923.77,1]
[7,"Licensed Physician",99349,"N/A",1319.67,1,true,true,true,true,true,7,"Licensed Physician",99349,"N/A",1319.67,1]
[7,"Licensed Physician",99350,"N/A",1768.35,1,true,true,true,true,true,7,"Licensed Physician",99350,"N/A",1768.35,1]
[7,"Licensed Physician",99367,"N/A",1583.6,1,true,true,true,true,true,7,"Licensed Physician",99367,"N/A",1583.6,1]
[7,"Licensed Physician",99408,"N/A",607.04999999999995,1,true,true,true,true,true,7,"Licensed Physician",99408,"N/A",607.04999999999995,1]
[7,"Licensed Physician",99409,"N/A",1583.6,1,true,true,true,true,true,7,"Licensed Physician",99409,"N/A",1583.6,1]
[7,"Licensed Physician",99415,"N/A",1583.6,1,true,true,true,true,true,7,"Licensed Physician",99415,"N/A",1583.6,1]
[7,"Licensed Physician",99416,"N/A",791.8,1,true,true,true,true,true,7,"Licensed Physician",99416,"N/A",791.8,1]
[7,"Licensed Physician",99417,"N/A",395.9,1,true,true,true,true,true,7,"Licensed Physician",99417,"N/A",395.9,1]
[7,"Licensed Physician",99418,"N/A",395.9,1,true,true,true,true,true,7,"Licensed Physician",99418,"N/A",395.9,1]
[7,"Licensed Physician",99424,"N/A",791.8,1,true,true,true,true,true,7,"Licensed Physician",99424,"N/A",791.8,1]
[7,"Licensed Physician",99425,"N/A",791.8,1,true,true,true,true,true,7,"Licensed Physician",99425,"N/A",791.8,1]
[7,"Licensed Physician",99437,"N/A",791.8,1,true,true,true,true,true,7,"Licensed Physician",99437,"N/A",791.8,1]
[7,"Licensed Physician",99441,"N/A",211.15,1,true,true,true,true,true,7,"Licensed Physician",99441,"N/A",211.15,1]
[7,"Licensed Physician",99442,"N/A",422.29,1,true,true,true,true,true,7,"Licensed Physician",99442,"N/A",422.29,1]
[7,"Licensed Physician",99443,"N/A",686.23,1,true,true,true,true,true,7,"Licensed Physician",99443,"N/A",686.23,1]
[7,"Licensed Physician",99451,"N/A",475.08,1,true,true,true,true,true,7,"Licensed Physician",99451,"N/A",475.08,1]
[7,"Licensed Physician",99491,"N/A",791.8,1,true,true,true,true,true,7,"Licensed Physician",99491,"N/A",791.8,1]
[7,"Licensed Physician",99495,"N/A",1425.24,1,{"$f":"EXACT(A899,L899)","v":true},{"$f":"EXACT(B899,M899)","v":true},{"$f":"EXACT(C899,N899)","v":true},{"$f":"EXACT(D899,O899)","v":true},{"$f":"EXACT(E899,P899)","v":true},7,"Licensed Physician",99495,"N/A",1425.24,1]
[7,"Licensed Physician",99496,"N/A",1979.5,1,true,true,true,true,true,7,"Licensed Physician",99496,"N/A",1979.5,1]
[7,"Licensed Physician","G0316","N/A",395.9,1,true,true,true,true,true,7,"Licensed Physician","G0316","N/A",395.9,1]
[7,"Licensed Physician","G0396","N/A",607.04999999999995,1,true,true,true,true,true,7,"Licensed Physician","G0396","N/A",607.04999999999995,1]
[7,"Licensed Physician","G0397","N/A",1583.6,1,true,true,true,true,true,7,"Licensed Physician","G0397","N/A",1583.6,1]
[7,"Licensed Physician","G0539","N/A",607.04999999999995,1,true,true,true,true,true,7,"Licensed Physician","G0539","N/A",607.04999999999995,1]
[7,"Licensed Physician","G0540","N/A",395.9,{"$f":"IF(C905=\"G0323\",9,1)","v":1},true,true,true,true,true,7,"Licensed Physician","G0540","N/A",395.9,{"$f":"IF(OR(N905=\"H0036\",N905=\"G0323\"),9,1)","v":1}]
[7,"Licensed Physician","G0541","N/A",607.04999999999995,1,true,true,true,true,true,7,"Licensed Physician","G0541","N/A",607.04999999999995,1]
[7,"Licensed Physician","G0542","N/A",395.9,1,true,true,true,true,true,7,"Licensed Physician","G0542","N/A",395.9,1]
[7,"Licensed Physician","G0543","N/A",263.93,1,true,true,true,true,true,7,"Licensed Physician","G0543","N/A",263.93,1]
[7,"Licensed Physician","G2011","N/A",263.93,1,true,true,true,true,true,7,"Licensed Physician","G2011","N/A",263.93,1]
[7,"Licensed Physician","H0001","N/A",395.9,1,true,true,true,true,true,7,"Licensed Physician","H0001","N/A",395.9,1]
[7,"Licensed Physician","H0003","N/A",395.9,1,true,true,true,true,true,7,"Licensed Physician","H0003","N/A",395.9,1]
[7,"Licensed Physician","H0004","N/A",395.9,1,true,true,true,true,true,7,"Licensed Physician","H0004","N/A",395.9,1]
[7,"Licensed Physician","H0005","N/A",87.98,1,true,true,true,true,true,7,"Licensed Physician","H0005","N/A",87.98,1]
[7,"Licensed Physician","H0007","N/A",395.9,1,true,true,true,true,true,7,"Licensed Physician","H0007","N/A",395.9,1]
[7,"Licensed Physician","H0008","N/A",395.9,1,true,true,true,true,true,7,"Licensed Physician","H0008","N/A",395.9,1]
[7,"Licensed Physician","H0009","N/A",395.9,1,true,true,true,true,true,7,"Licensed Physician","H0009","N/A",395.9,1]
[7,"Licensed Physician","H0033","N/A",395.9,1,true,true,true,true,true,7,"Licensed Physician","H0033","N/A",395.9,1]
[7,"Licensed Physician","H0034","N/A",395.9,1,true,true,true,true,true,7,"Licensed Physician","H0034","N/A",395.9,1]
[7,"Licensed Physician","H0034","HQ",87.98,1,true,true,true,true,true,7,"Licensed Physician","H0034","HQ",87.98,1]
[7,"Licensed Physician","H0048","N/A",395.9,1,true,true,true,true,true,7,"Licensed Physician","H0048","N/A",395.9,1]
[7,"Licensed Physician","H0049","N/A",395.9,1,true,true,true,true,true,7,"Licensed Physician","H0049","N/A",395.9,1]
[7,"Licensed Physician","H0050","N/A",395.9,1,true,true,true,true,true,7,"Licensed Physician","H0050","N/A",395.9,1]
[7,"Licensed Physician","H1000","N/A",395.9,1,true,true,true,true,true,7,"Licensed Physician","H1000","N/A",395.9,1]
[7,"Licensed Physician","H2014","N/A",395.9,1,true,true,true,true,true,7,"Licensed Physician","H2014","N/A",395.9,1]
[7,"Licensed Physician","H2014","HQ",87.98,1,true,true,true,true,true,7,"Licensed Physician","H2014","HQ",87.98,1]
[7,"Licensed Physician","H2015","N/A",395.9,1,true,true,true,true,true,7,"Licensed Physician","H2015","N/A",395.9,1]
[7,"Licensed Physician","H2017","N/A",395.9,1,true,true,true,true,true,7,"Licensed Physician","H2017","N/A",395.9,1]
[7,"Licensed Physician","H2017","HQ",87.98,1,true,true,true,true,true,7,"Licensed Physician","H2017","HQ",87.98,1]
[7,"Licensed Physician","H2021","N/A",395.9,1,true,true,true,true,true,7,"Licensed Physician","H2021","N/A",395.9,1]
[7,"Licensed Physician","H2027","N/A",395.9,1,true,true,true,true,true,7,"Licensed Physician","H2027","N/A",395.9,1]
[7,"Licensed Physician","H2035","N/A",1583.6,1,true,true,true,true,true,7,"Licensed Physician","H2035","N/A",1583.6,1]
[7,"Licensed Physician","T1006","N/A",395.9,1,true,true,true,true,true,7,"Licensed Physician","T1006","N/A",395.9,1]
[7,"Licensed Physician","T1007","N/A",395.9,1,true,true,true,true,true,7,"Licensed Physician","T1007","N/A",395.9,1]
[7,"Licensed Physician","T1013","N/A",31.88,1,true,true,true,true,true,7,"Licensed Physician","T1013","N/A",31.88,1]
[7,"Licensed Physician","T1017","N/A",395.9,1,true,true,true,true,true,7,"Licensed Physician","T1017","N/A",395.9,1]
[7,"Licensed Physician","T2021","N/A",395.9,1,true,true,true,true,true,7,"Licensed Physician","T2021","N/A",395.9,1]
[7,"Licensed Physician","T2021","HQ",87.98,1,true,true,true,true,true,7,"Licensed Physician","T2021","HQ",87.98,1]
[7,"Licensed Physician","T2021",22,398.91,1,true,true,true,true,true,7,"Licensed Physician","T2021",22,398.91,1]
[7,"Licensed Physician","T2024","N/A",395.9,1,true,true,true,true,true,7,"Licensed Physician","T2024","N/A",395.9,1]
[7,"Licensed Psychiatric Technician",90785,"N/A",18.89,1,true,true,true,true,true,7,"Licensed Psychiatric Technician",90785,"N/A",18.89,1]
[7,"Licensed Psychiatric Technician",90882,"N/A",72.42,1,true,true,true,true,true,7,"Licensed Psychiatric Technician",90882,"N/A",72.42,1]
[7,"Licensed Psychiatric Technician",90889,"N/A",72.42,1,true,true,true,true,true,7,"Licensed Psychiatric Technician",90889,"N/A",72.42,1]
[7,"Licensed Psychiatric Technician",96160,"N/A",72.42,1,true,true,true,true,true,7,"Licensed Psychiatric Technician",96160,"N/A",72.42,1]
[7,"Licensed Psychiatric Technician",96170,"N/A",144.84,1,true,true,true,true,true,7,"Licensed Psychiatric Technician",96170,"N/A",144.84,1]
[7,"Licensed Psychiatric Technician",96171,"N/A",72.42,1,true,true,true,true,true,7,"Licensed Psychiatric Technician",96171,"N/A",72.42,1]
[7,"Licensed Psychiatric Technician",96202,"N/A",64.37,1,true,true,true,true,true,7,"Licensed Psychiatric Technician",96202,"N/A",64.37,1]
[7,"Licensed Psychiatric Technician",96203,"N/A",16.09,1,true,true,true,true,true,7,"Licensed Psychiatric Technician",96203,"N/A",16.09,1]
[7,"Licensed Psychiatric Technician",97550,"N/A",111.04,1,true,true,true,true,true,7,"Licensed Psychiatric Technician",97550,"N/A",111.04,1]
[7,"Licensed Psychiatric Technician",97551,"N/A",72.42,1,true,true,true,true,true,7,"Licensed Psychiatric Technician",97551,"N/A",72.42,1]
[7,"Licensed Psychiatric Technician",97552,"N/A",48.28,1,true,true,true,true,true,7,"Licensed Psychiatric Technician",97552,"N/A",48.28,1]
[7,"Licensed Psychiatric Technician","G0396","N/A",111.04,1,true,true,true,true,true,7,"Licensed Psychiatric Technician","G0396","N/A",111.04,1]
[7,"Licensed Psychiatric Technician","G0397","N/A",289.68,1,true,true,true,true,true,7,"Licensed Psychiatric Technician","G0397","N/A",289.68,1]
[7,"Licensed Psychiatric Technician","G0539","N/A",111.04,1,true,true,true,true,true,7,"Licensed Psychiatric Technician","G0539","N/A",111.04,1]
[7,"Licensed Psychiatric Technician","G0540","N/A",72.42,1,true,true,true,true,true,7,"Licensed Psychiatric Technician","G0540","N/A",72.42,1]
[7,"Licensed Psychiatric Technician","G0541","N/A",111.04,1,true,true,true,true,true,7,"Licensed Psychiatric Technician","G0541","N/A",111.04,1]
[7,"Licensed Psychiatric Technician","G0542","N/A",72.42,1,true,true,true,true,true,7,"Licensed Psychiatric Technician","G0542","N/A",72.42,1]
[7,"Licensed Psychiatric Technician","G0543","N/A",48.28,1,true,true,true,true,true,7,"Licensed Psychiatric Technician","G0543","N/A",48.28,1]
[7,"Licensed Psychiatric Technician","G2011","N/A",48.28,1,true,true,true,true,true,7,"Licensed Psychiatric Technician","G2011","N/A",48.28,1]
[7,"Licensed Psychiatric Technician","H0001","N/A",72.42,1,true,true,true,true,true,7,"Licensed Psychiatric Technician","H0001","N/A",72.42,1]
[7,"Licensed Psychiatric Technician","H0003","N/A",72.42,1,true,true,true,true,true,7,"Licensed Psychiatric Technician","H0003","N/A",72.42,1]
[7,"Licensed Psychiatric Technician","H0007","N/A",72.42,1,true,true,true,true,true,7,"Licensed Psychiatric Technician","H0007","N/A",72.42,1]
[7,"Licensed Psychiatric Technician","H0008","N/A",72.42,1,true,true,true,true,true,7,"Licensed Psychiatric Technician","H0008","N/A",72.42,1]
[7,"Licensed Psychiatric Technician","H0009","N/A",72.42,1,{"$f":"EXACT(A963,L963)","v":true},{"$f":"EXACT(B963,M963)","v":true},{"$f":"EXACT(C963,N963)","v":true},{"$f":"EXACT(D963,O963)","v":true},{"$f":"EXACT(E963,P963)","v":true},7,"Licensed Psychiatric Technician","H0009","N/A",72.42,1]
[7,"Licensed Psychiatric Technician","H0033","N/A",72.42,1,true,true,true,true,true,7,"Licensed Psychiatric Technician","H0033","N/A",72.42,1]
[7,"Licensed Psychiatric Technician","H0034","N/A",72.42,1,true,true,true,true,true,7,"Licensed Psychiatric Technician","H0034","N/A",72.42,1]
[7,"Licensed Psychiatric Technician","H0034","HQ",16.09,1,true,true,true,true,true,7,"Licensed Psychiatric Technician","H0034","HQ",16.09,1]
[7,"Licensed Psychiatric Technician","H0048","N/A",72.42,1,true,true,true,true,true,7,"Licensed Psychiatric Technician","H0048","N/A",72.42,1]
[7,"Licensed Psychiatric Technician","H0049","N/A",72.42,1,true,true,true,true,true,7,"Licensed Psychiatric Technician","H0049","N/A",72.42,1]
[7,"Licensed Psychiatric Technician","H0050","N/A",72.42,{"$f":"IF(C969=\"G0323\",9,1)","v":1},true,true,true,true,true,7,"Licensed Psychiatric Technician","H0050","N/A",72.42,{"$f":"IF(OR(N969=\"H0036\",N969=\"G0323\"),9,1)","v":1}]
[7,"Licensed Psychiatric Technician","H1000","N/A",72.42,1,true,true,true,true,true,7,"Licensed Psychiatric Technician","H1000","N/A",72.42,1]
[7,"Licensed Psychiatric Technician","H2014","N/A",72.42,1,true,true,true,true,true,7,"Licensed Psychiatric Technician","H2014","N/A",72.42,1]
[7,"Licensed Psychiatric Technician","H2014","HQ",16.09,1,true,true,true,true,true,7,"Licensed Psychiatric Technician","H2014","HQ",16.09,1]
[7,"Licensed Psychiatric Technician","H2015","N/A",72.42,1,true,true,true,true,true,7,"Licensed Psychiatric Technician","H2015","N/A",72.42,1]
[7,"Licensed Psychiatric Technician","H2017","N/A",72.42,1,true,true,true,true,true,7,"Licensed Psychiatric Technician","H2017","N/A",72.42,1]
[7,"Licensed Psychiatric Technician","H2017","HQ",16.09,1,true,true,true,true,true,7,"Licensed Psychiatric Technician","H2017","HQ",16.09,1]
[7,"Licensed Psychiatric Technician","H2021","N/A",72.42,1,true,true,true,true,true,7,"Licensed Psychiatric Technician","H2021","N/A",72.42,1]
[7,"Licensed Psychiatric Technician","H2027","N/A",72.42,1,true,true,true,true,true,7,"Licensed Psychiatric Technician","H2027","N/A",72.42,1]
[7,"Licensed Psychiatric Technician","H2035","N/A",289.68,1,true,true,true,true,true,7,"Licensed Psychiatric Technician","H2035","N/A",289.68,1]
[7,"Licensed Psychiatric Technician","T1007","N/A",72.42,1,true,true,true,true,true,7,"Licensed Psychiatric Technician","T1007","N/A",72.42,1]
[7,"Licensed Psychiatric Technician","T1013","N/A",31.88,1,true,true,true,true,true,7,"Licensed Psychiatric Technician","T1013","N/A",31.88,1]
[7,"Licensed Psychiatric Technician","T1017","N/A",72.42,1,true,true,true,true,true,7,"Licensed Psychiatric Technician","T1017","N/A",72.42,1]
[7,"Licensed Vocational Nurse",90785,"N/A",18.89,1,true,true,true,true,true,7,"Licensed Vocational Nurse",90785,"N/A",18.89,1]
[7,"Licensed Vocational Nurse",90882,"N/A",84.48,1,true,true,true,true,true,7,"Licensed Vocational Nurse",90882,"N/A",84.48,1]
[7,"Licensed Vocational Nurse",90889,"N/A",84.48,1,true,true,true,true,true,7,"Licensed Vocational Nurse",90889,"N/A",84.48,1]
[7,"Licensed Vocational Nurse",96160,"N/A",84.48,1,true,true,true,true,true,7,"Licensed Vocational Nurse",96160,"N/A",84.48,1]
[7,"Licensed Vocational Nurse",96170,"N/A",168.96,1,true,true,true,true,true,7,"Licensed Vocational Nurse",96170,"N/A",168.96,1]
[7,"Licensed Vocational Nurse",96171,"N/A",84.48,1,true,true,true,true,true,7,"Licensed Vocational Nurse",96171,"N/A",84.48,1]
[7,"Licensed Vocational Nurse",96202,"N/A",75.09,1,true,true,true,true,true,7,"Licensed Vocational Nurse",96202,"N/A",75.09,1]
[7,"Licensed Vocational Nurse",96203,"N/A",18.77,1,true,true,true,true,true,7,"Licensed Vocational Nurse",96203,"N/A",18.77,1]
[7,"Licensed Vocational Nurse",97550,"N/A",129.53,1,true,true,true,true,true,7,"Licensed Vocational Nurse",97550,"N/A",129.53,1]
[7,"Licensed Vocational Nurse",97551,"N/A",84.48,1,true,true,true,true,true,7,"Licensed Vocational Nurse",97551,"N/A",84.48,1]
[7,"Licensed Vocational Nurse",97552,"N/A",56.32,1,true,true,true,true,true,7,"Licensed Vocational Nurse",97552,"N/A",56.32,1]
[7,"Licensed Vocational Nurse","G0396","N/A",129.53,1,true,true,true,true,true,7,"Licensed Vocational Nurse","G0396","N/A",129.53,1]
[7,"Licensed Vocational Nurse","G0397","N/A",337.91,1,true,true,true,true,true,7,"Licensed Vocational Nurse","G0397","N/A",337.91,1]
[7,"Licensed Vocational Nurse","G0539","N/A",129.53,1,true,true,true,true,true,7,"Licensed Vocational Nurse","G0539","N/A",129.53,1]
[7,"Licensed Vocational Nurse","G0540","N/A",84.48,1,true,true,true,true,true,7,"Licensed Vocational Nurse","G0540","N/A",84.48,1]
[7,"Licensed Vocational Nurse","G0541","N/A",129.53,1,true,true,true,true,true,7,"Licensed Vocational Nurse","G0541","N/A",129.53,1]
[7,"Licensed Vocational Nurse","G0542","N/A",84.48,1,true,true,true,true,true,7,"Licensed Vocational Nurse","G0542","N/A",84.48,1]
[7,"Licensed Vocational Nurse","G0543","N/A",56.32,1,true,true,true,true,true,7,"Licensed Vocational Nurse","G0543","N/A",56.32,1]
[7,"Licensed Vocational Nurse","G2011","N/A",56.32,1,true,true,true,true,true,7,"Licensed Vocational Nurse","G2011","N/A",56.32,1]
[7,"Licensed Vocational Nurse","H0001","N/A",84.48,1,true,true,true,true,true,7,"Licensed Vocational Nurse","H0001","N/A",84.48,1]
[7,"Licensed Vocational Nurse","H0003","N/A",84.48,1,true,true,true,true,true,7,"Licensed Vocational Nurse","H0003","N/A",84.48,1]
[7,"Licensed Vocational Nurse","H0007","N/A",84.48,1,true,true,true,true,true,7,"Licensed Vocational Nurse","H0007","N/A",84.48,1]
[7,"Licensed Vocational Nurse","H0008","N/A",84.48,1,true,true,true,true,true,7,"Licensed Vocational Nurse","H0008","N/A",84.48,1]
[7,"Licensed Vocational Nurse","H0009","N/A",84.48,1,true,true,true,true,true,7,"Licensed Vocational Nurse","H0009","N/A",84.48,1]
[7,"Licensed Vocational Nurse","H0033","N/A",84.48,1,true,true,true,true,true,7,"Licensed Vocational Nurse","H0033","N/A",84.48,1]
[7,"Licensed Vocational Nurse","H0034","N/A",84.48,1,true,true,true,true,true,7,"Licensed Vocational Nurse","H0034","N/A",84.48,1]
[7,"Licensed Vocational Nurse","H0034","HQ",18.77,1,true,true,true,true,true,7,"Licensed Vocational Nurse","H0034","HQ",18.77,1]
[7,"Licensed Vocational Nurse","H0048","N/A",84.48,1,true,true,true,true,true,7,"Licensed Vocational Nurse","H0048","N/A",84.48,1]
[7,"Licensed Vocational Nurse","H0049","N/A",84.48,1,true,true,true,true,true,7,"Licensed Vocational Nurse","H0049","N/A",84.48,1]
[7,"Licensed Vocational Nurse","H0050","N/A",84.48,1,true,true,true,true,true,7,"Licensed Vocational Nurse","H0050","N/A",84.48,1]
[7,"Licensed Vocational Nurse","H1000","N/A",84.48,1,true,true,true,true,true,7,"Licensed Vocational Nurse","H1000","N/A",84.48,1]
[7,"Licensed Vocational Nurse","H2014","N/A",84.48,1,true,true,true,true,true,7,"Licensed Vocational Nurse","H2014","N/A",84.48,1]
[7,"Licensed Vocational Nurse","H2014","HQ",18.77,1,true,true,true,true,true,7,"Licensed Vocational Nurse","H2014","HQ",18.77,1]
[7,"Licensed Vocational Nurse","H2015","N/A",84.48,1,true,true,true,true,true,7,"Licensed Vocational Nurse","H2015","N/A",84.48,1]
[7,"Licensed Vocational Nurse","H2017","N/A",84.48,1,true,true,true,true,true,7,"Licensed Vocational Nurse","H2017","N/A",84.48,1]
[7,"Licensed Vocational Nurse","H2017","HQ",18.77,1,true,true,true,true,true,7,"Licensed Vocational Nurse","H2017","HQ",18.77,1]
[7,"Licensed Vocational Nurse","H2021","N/A",84.48,1,true,true,true,true,true,7,"Licensed Vocational Nurse","H2021","N/A",84.48,1]
[7,"Licensed Vocational Nurse","H2027","N/A",84.48,1,true,true,true,true,true,7,"Licensed Vocational Nurse","H2027","N/A",84.48,1]
[7,"Licensed Vocational Nurse","H2035","N/A",337.91,1,true,true,true,true,true,7,"Licensed Vocational Nurse","H2035","N/A",337.91,1]
[7,"Licensed Vocational Nurse","T1007","N/A",84.48,1,true,true,true,true,true,7,"Licensed Vocational Nurse","T1007","N/A",84.48,1]
[7,"Licensed Vocational Nurse","T1013","N/A",31.88,1,true,true,true,true,true,7,"Licensed Vocational Nurse","T1013","N/A",31.88,1]
[7,"Licensed Vocational Nurse","T1017","N/A",84.48,1,true,true,true,true,true,7,"Licensed Vocational Nurse","T1017","N/A",84.48,1]
[7,"Medical Assistant",90785,"N/A",18.32,1,true,true,true,true,true,7,"Medical Assistant",90785,"N/A",18.32,1]
[7,"Medical Assistant",90882,"N/A",58.07,1,true,true,true,true,true,7,"Medical Assistant",90882,"N/A",58.07,1]
[7,"Medical Assistant",96160,"N/A",58.07,1,true,true,true,true,true,7,"Medical Assistant",96160,"N/A",58.07,1]
[7,"Medical Assistant",96170,"N/A",116.15,1,{"$f":"EXACT(A1027,L1027)","v":true},{"$f":"EXACT(B1027,M1027)","v":true},{"$f":"EXACT(C1027,N1027)","v":true},{"$f":"EXACT(D1027,O1027)","v":true},{"$f":"EXACT(E1027,P1027)","v":true},7,"Medical Assistant",96170,"N/A",116.15,1]
[7,"Medical Assistant",96171,"N/A",58.07,1,true,true,true,true,true,7,"Medical Assistant",96171,"N/A",58.07,1]
[7,"Medical Assistant",99368,"N/A",232.29,1,true,true,true,true,true,7,"Medical Assistant",99368,"N/A",232.29,1]
[7,"Medical Assistant","H0001","N/A",58.07,1,true,true,true,true,true,7,"Medical Assistant","H0001","N/A",58.07,1]
[7,"Medical Assistant","H0003","N/A",58.07,1,true,true,true,true,true,7,"Medical Assistant","H0003","N/A",58.07,1]
[7,"Medical Assistant","H0033","N/A",58.07,1,true,true,true,true,true,7,"Medical Assistant","H0033","N/A",58.07,1]
[7,"Medical Assistant","H0034","N/A",58.07,{"$f":"IF(C1033=\"G0323\",9,1)","v":1},true,true,true,true,true,7,"Medical Assistant","H0034","N/A",58.07,{"$f":"IF(OR(N1033=\"H0036\",N1033=\"G0323\"),9,1)","v":1}]
[7,"Medical Assistant","H0034","HQ",12.91,1,true,true,true,true,true,7,"Medical Assistant","H0034","HQ",12.91,1]
[7,"Medical Assistant","H0048","N/A",58.07,1,true,true,true,true,true,7,"Medical Assistant","H0048","N/A",58.07,1]
[7,"Medical Assistant","H0049","N/A",58.07,1,true,true,true,true,true,7,"Medical Assistant","H0049","N/A",58.07,1]
[7,"Medical Assistant","H2014","N/A",58.07,1,true,true,true,true,true,7,"Medical Assistant","H2014","N/A",58.07,1]
[7,"Medical Assistant","H2014","HQ",12.91,1,true,true,true,true,true,7,"Medical Assistant","H2014","HQ",12.91,1]
[7,"Medical Assistant","H2017","N/A",58.07,1,true,true,true,true,true,7,"Medical Assistant","H2017","N/A",58.07,1]
[7,"Medical Assistant","H2017","HQ",12.91,1,true,true,true,true,true,7,"Medical Assistant","H2017","HQ",12.91,1]
[7,"Medical Assistant","H2021","N/A",58.07,1,true,true,true,true,true,7,"Medical Assistant","H2021","N/A",58.07,1]
[7,"Medical Assistant","H2027","N/A",58.07,1,true,true,true,true,true,7,"Medical Assistant","H2027","N/A",58.07,1]
[7,"Medical Assistant","T1013","N/A",31.88,1,true,true,true,true,true,7,"Medical Assistant","T1013","N/A",31.88,1]
[7,"Medical Assistant","T1017","N/A",58.07,1,true,true,true,true,true,7,"Medical Assistant","T1017","N/A",58.07,1]
[7,"Medical Assistant","T2024","N/A",58.07,1,true,true,true,true,true,7,"Medical Assistant","T2024","N/A",58.07,1]
[7,"MFT/LPCC (Licensed, Waivered or Registered)",90785,"N/A",18.89,1,true,true,true,true,true,7,"MFT/LPCC (Licensed, Waivered or Registered)",90785,"N/A",18.89,1]
[7,"MFT/LPCC (Licensed, Waivered or Registered)",90791,"N/A",412.14,1,true,true,true,true,true,7,"MFT/LPCC (Licensed, Waivered or Registered)",90791,"N/A",412.14,1]
[7,"MFT/LPCC (Licensed, Waivered or Registered)",90846,"N/A",343.45,1,true,true,true,true,true,7,"MFT/LPCC (Licensed, Waivered or Registered)",90846,"N/A",343.45,1]
[7,"MFT/LPCC (Licensed, Waivered or Registered)",90847,"N/A",343.45,1,true,true,true,true,true,7,"MFT/LPCC (Licensed, Waivered or Registered)",90847,"N/A",343.45,1]
[7,"MFT/LPCC (Licensed, Waivered or Registered)",90849,"N/A",128.22,1,true,true,true,true,true,7,"MFT/LPCC (Licensed, Waivered or Registered)",90849,"N/A",128.22,1]
[7,"MFT/LPCC (Licensed, Waivered or Registered)",90882,"N/A",103.04,1,true,true,true,true,true,7,"MFT/LPCC (Licensed, Waivered or Registered)",90882,"N/A",103.04,1]
[7,"MFT/LPCC (Licensed, Waivered or Registered)",90885,"N/A",412.14,1,true,true,true,true,true,7,"MFT/LPCC (Licensed, Waivered or Registered)",90885,"N/A",412.14,1]
[7,"MFT/LPCC (Licensed, Waivered or Registered)",90887,"N/A",343.45,1,true,true,true,true,true,7,"MFT/LPCC (Licensed, Waivered or Registered)",90887,"N/A",343.45,1]
[7,"MFT/LPCC (Licensed, Waivered or Registered)",90889,"N/A",103.04,1,true,true,true,true,true,7,"MFT/LPCC (Licensed, Waivered or Registered)",90889,"N/A",103.04,1]
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[7,"MFT/LPCC (Licensed, Waivered or Registered)","G0396","N/A",157.99,1,true,true,true,true,true,7,"MFT/LPCC (Licensed, Waivered or Registered)","G0396","N/A",157.99,1]
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[7,"MFT/LPCC (Licensed, Waivered or Registered)","H0004","N/A",103.04,1,true,true,true,true,true,7,"MFT/LPCC (Licensed, Waivered or Registered)","H0004","N/A",103.04,1]
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[7,"MFT/LPCC (Licensed, Waivered or Registered)","H0007","N/A",103.04,1,true,true,true,true,true,7,"MFT/LPCC (Licensed, Waivered or Registered)","H0007","N/A",103.04,1]
[7,"MFT/LPCC (Licensed, Waivered or Registered)","H0049","N/A",103.04,1,true,true,true,true,true,7,"MFT/LPCC (Licensed, Waivered or Registered)","H0049","N/A",103.04,1]
[7,"MFT/LPCC (Licensed, Waivered or Registered)","H0050","N/A",103.04,1,true,true,true,true,true,7,"MFT/LPCC (Licensed, Waivered or Registered)","H0050","N/A",103.04,1]
[7,"MFT/LPCC (Licensed, Waivered or Registered)","H1000","N/A",103.04,1,true,true,true,true,true,7,"MFT/LPCC (Licensed, Waivered or Registered)","H1000","N/A",103.04,1]
[7,"MFT/LPCC (Licensed, Waivered or Registered)","H2014","N/A",103.04,1,true,true,true,true,true,7,"MFT/LPCC (Licensed, Waivered or Registered)","H2014","N/A",103.04,1]
[7,"MFT/LPCC (Licensed, Waivered or Registered)","H2014","HQ",22.9,1,true,true,true,true,true,7,"MFT/LPCC (Licensed, Waivered or Registered)","H2014","HQ",22.9,1]
[7,"MFT/LPCC (Licensed, Waivered or Registered)","H2015","N/A",103.04,1,true,true,true,true,true,7,"MFT/LPCC (Licensed, Waivered or Registered)","H2015","N/A",103.04,1]
[7,"MFT/LPCC (Licensed, Waivered or Registered)","H2017","N/A",103.04,1,true,true,true,true,true,7,"MFT/LPCC (Licensed, Waivered or Registered)","H2017","N/A",103.04,1]
[7,"MFT/LPCC (Licensed, Waivered or Registered)","H2017","HQ",22.9,1,true,true,true,true,true,7,"MFT/LPCC (Licensed, Waivered or Registered)","H2017","HQ",22.9,1]
[7,"MFT/LPCC (Licensed, Waivered or Registered)","H2021","N/A",103.04,1,true,true,true,true,true,7,"MFT/LPCC (Licensed, Waivered or Registered)","H2021","N/A",103.04,1]
[7,"MFT/LPCC (Licensed, Waivered or Registered)","H2027","N/A",103.04,1,true,true,true,true,true,7,"MFT/LPCC (Licensed, Waivered or Registered)","H2027","N/A",103.04,1]
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[7,"MFT/LPCC (Licensed, Waivered or Registered)","T1006","N/A",103.04,1,true,true,true,true,true,7,"MFT/LPCC (Licensed, Waivered or Registered)","T1006","N/A",103.04,1]
[7,"MFT/LPCC (Licensed, Waivered or Registered)","T1007","N/A",103.04,1,{"$f":"EXACT(A1091,L1091)","v":true},{"$f":"EXACT(B1091,M1091)","v":true},{"$f":"EXACT(C1091,N1091)","v":true},{"$f":"EXACT(D1091,O1091)","v":true},{"$f":"EXACT(E1091,P1091)","v":true},7,"MFT/LPCC (Licensed, Waivered or Registered)","T1007","N/A",103.04,1]
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[7,"Nurse Practitioner",90785,"N/A",18.89,1,true,true,true,true,true,7,"Nurse Practitioner",90785,"N/A",18.89,1]
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[7,"Nurse Practitioner",90847,"N/A",656.23,1,true,true,true,true,true,7,"Nurse Practitioner",90847,"N/A",656.23,1]
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[7,"Nurse Practitioner",90865,"N/A",1181.22,1,true,true,true,true,true,7,"Nurse Practitioner",90865,"N/A",1181.22,1]
[7,"Nurse Practitioner",90882,"N/A",196.87,1,true,true,true,true,true,7,"Nurse Practitioner",90882,"N/A",196.87,1]
[7,"Nurse Practitioner",90885,"N/A",787.48,1,true,true,true,true,true,7,"Nurse Practitioner",90885,"N/A",787.48,1]
[7,"Nurse Practitioner",90887,"N/A",656.23,1,true,true,true,true,true,7,"Nurse Practitioner",90887,"N/A",656.23,1]
[7,"Nurse Practitioner",90889,"N/A",196.87,1,true,true,true,true,true,7,"Nurse Practitioner",90889,"N/A",196.87,1]
[7,"Nurse Practitioner",96130,"N/A",787.48,1,true,true,true,true,true,7,"Nurse Practitioner",96130,"N/A",787.48,1]
[7,"Nurse Practitioner",96131,"N/A",787.48,1,true,true,true,true,true,7,"Nurse Practitioner",96131,"N/A",787.48,1]
[7,"Nurse Practitioner",96160,"N/A",196.87,1,true,true,true,true,true,7,"Nurse Practitioner",96160,"N/A",196.87,1]
[7,"Nurse Practitioner",96170,"N/A",393.74,1,true,true,true,true,true,7,"Nurse Practitioner",96170,"N/A",393.74,1]
[7,"Nurse Practitioner",96171,"N/A",196.87,1,true,true,true,true,true,7,"Nurse Practitioner",96171,"N/A",196.87,1]
[7,"Nurse Practitioner",96202,"N/A",175,1,true,true,true,true,true,7,"Nurse Practitioner",96202,"N/A",175,1]
[7,"Nurse Practitioner",96203,"N/A",43.75,1,true,true,true,true,true,7,"Nurse Practitioner",96203,"N/A",43.75,1]
[7,"Nurse Practitioner",97550,"N/A",301.87,1,true,true,true,true,true,7,"Nurse Practitioner",97550,"N/A",301.87,1]
[7,"Nurse Practitioner",97551,"N/A",196.87,1,true,true,true,true,true,7,"Nurse Practitioner",97551,"N/A",196.87,1]
[7,"Nurse Practitioner",97552,"N/A",131.25,1,true,true,true,true,true,7,"Nurse Practitioner",97552,"N/A",131.25,1]
[7,"Nurse Practitioner",98966,"N/A",105,1,true,true,true,true,true,7,"Nurse Practitioner",98966,"N/A",105,1]
[7,"Nurse Practitioner",98967,"N/A",209.99,1,true,true,true,true,true,7,"Nurse Practitioner",98967,"N/A",209.99,1]
[7,"Nurse Practitioner",98968,"N/A",341.24,1,true,true,true,true,true,7,"Nurse Practitioner",98968,"N/A",341.24,1]
[7,"Nurse Practitioner",99202,"N/A",288.74,1,true,true,true,true,true,7,"Nurse Practitioner",99202,"N/A",288.74,1]
[7,"Nurse Practitioner",99203,"N/A",485.61,1,true,true,true,true,true,7,"Nurse Practitioner",99203,"N/A",485.61,1]
[7,"Nurse Practitioner",99204,"N/A",682.48,1,true,true,true,true,true,7,"Nurse Practitioner",99204,"N/A",682.48,1]
[7,"Nurse Practitioner",99205,"N/A",879.35,1,true,true,true,true,true,7,"Nurse Practitioner",99205,"N/A",879.35,1]
[7,"Nurse Practitioner",99212,"N/A",196.87,1,true,true,true,true,true,7,"Nurse Practitioner",99212,"N/A",196.87,1]
[7,"Nurse Practitioner",99213,"N/A",328.12,1,true,true,true,true,true,7,"Nurse Practitioner",99213,"N/A",328.12,1]
[7,"Nurse Practitioner",99214,"N/A",459.36,1,true,true,true,true,true,7,"Nurse Practitioner",99214,"N/A",459.36,1]
[7,"Nurse Practitioner",99215,"N/A",616.86,1,true,true,true,true,true,7,"Nurse Practitioner",99215,"N/A",616.86,1]
[7,"Nurse Practitioner",99234,"N/A",748.11,1,true,true,true,true,true,7,"Nurse Practitioner",99234,"N/A",748.11,1]
[7,"Nurse Practitioner",99235,"N/A",1010.6,1,true,true,true,true,true,7,"Nurse Practitioner",99235,"N/A",1010.6,1]
[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",99238,"N/A",393.74,1,true,true,true,true,true,7,"Nurse Practitioner",99238,"N/A",393.74,1]
[7,"Nurse Practitioner",99239,"N/A",787.48,1,true,true,true,true,true,7,"Nurse Practitioner",99239,"N/A",787.48,1]
[7,"Nurse Practitioner",99304,"N/A",393.74,1,true,true,true,true,true,7,"Nurse Practitioner",99304,"N/A",393.74,1]
[7,"Nurse Practitioner",99305,"N/A",551.24,1,true,true,true,true,true,7,"Nurse Practitioner",99305,"N/A",551.24,1]
[7,"Nurse Practitioner",99306,"N/A",748.11,1,true,true,true,true,true,7,"Nurse Practitioner",99306,"N/A",748.11,1]
[7,"Nurse Practitioner",99307,"N/A",196.87,1,true,true,true,true,true,7,"Nurse Practitioner",99307,"N/A",196.87,1]
[7,"Nurse Practitioner",99308,"N/A",328.12,1,true,true,true,true,true,7,"Nurse Practitioner",99308,"N/A",328.12,1]
[7,"Nurse Practitioner",99309,"N/A",485.61,1,true,true,true,true,true,7,"Nurse Practitioner",99309,"N/A",485.61,1]
[7,"Nurse Practitioner",99310,"N/A",682.48,1,true,true,true,true,true,7,"Nurse Practitioner",99310,"N/A",682.48,1]
[7,"Nurse Practitioner",99341,"N/A",288.74,1,true,true,true,true,true,7,"Nurse Practitioner",99341,"N/A",288.74,1]
[7,"Nurse Practitioner",99342,"N/A",590.61,1,true,true,true,true,true,7,"Nurse Practitioner",99342,"N/A",590.61,1]
[7,"Nurse Practitioner",99344,"N/A",879.35,1,true,true,true,true,true,7,"Nurse Practitioner",99344,"N/A",879.35,1]
[7,"Nurse Practitioner",99345,"N/A",1076.22,1,true,true,true,true,true,7,"Nurse Practitioner",99345,"N/A",1076.22,1]
[7,"Nurse Practitioner",99347,"N/A",328.12,1,true,true,true,true,true,7,"Nurse Practitioner",99347,"N/A",328.12,1]
[7,"Nurse Practitioner",99348,"N/A",459.36,1,true,true,true,true,true,7,"Nurse Practitioner",99348,"N/A",459.36,1]
[7,"Nurse Practitioner",99349,"N/A",656.23,1,true,true,true,true,true,7,"Nurse Practitioner",99349,"N/A",656.23,1]
[7,"Nurse Practitioner",99350,"N/A",879.35,1,true,true,true,true,true,7,"Nurse Practitioner",99350,"N/A",879.35,1]
[7,"Nurse Practitioner",99368,"N/A",787.48,1,true,true,true,true,true,7,"Nurse Practitioner",99368,"N/A",787.48,1]
[7,"Nurse Practitioner",99408,"N/A",301.87,1,true,true,true,true,true,7,"Nurse Practitioner",99408,"N/A",301.87,1]
[7,"Nurse Practitioner",99409,"N/A",787.48,1,true,true,true,true,true,7,"Nurse Practitioner",99409,"N/A",787.48,1]
[7,"Nurse Practitioner",99415,"N/A",787.48,1,true,true,true,true,true,7,"Nurse Practitioner",99415,"N/A",787.48,1]
[7,"Nurse Practitioner",99416,"N/A",393.74,1,true,true,true,true,true,7,"Nurse Practitioner",99416,"N/A",393.74,1]
[7,"Nurse Practitioner",99417,"N/A",196.87,1,{"$f":"EXACT(A1155,L1155)","v":true},{"$f":"EXACT(B1155,M1155)","v":true},{"$f":"EXACT(C1155,N1155)","v":true},{"$f":"EXACT(D1155,O1155)","v":true},{"$f":"EXACT(E1155,P1155)","v":true},7,"Nurse Practitioner",99417,"N/A",196.87,1]
[7,"Nurse Practitioner",99418,"N/A",196.87,1,true,true,true,true,true,7,"Nurse Practitioner",99418,"N/A",196.87,1]
[7,"Nurse Practitioner",99424,"N/A",393.74,1,true,true,true,true,true,7,"Nurse Practitioner",99424,"N/A",393.74,1]
[7,"Nurse Practitioner",99425,"N/A",393.74,1,true,true,true,true,true,7,"Nurse Practitioner",99425,"N/A",393.74,1]
[7,"Nurse Practitioner",99437,"N/A",393.74,1,true,true,true,true,true,7,"Nurse Practitioner",99437,"N/A",393.74,1]
[7,"Nurse Practitioner",99441,"N/A",105,1,true,true,true,true,true,7,"Nurse Practitioner",99441,"N/A",105,1]
[7,"Nurse Practitioner",99442,"N/A",209.99,{"$f":"IF(C1161=\"G0323\",9,1)","v":1},true,true,true,true,true,7,"Nurse Practitioner",99442,"N/A",209.99,{"$f":"IF(OR(N1161=\"H0036\",N1161=\"G0323\"),9,1)","v":1}]
[7,"Nurse Practitioner",99443,"N/A",341.24,1,true,true,true,true,true,7,"Nurse Practitioner",99443,"N/A",341.24,1]
[7,"Nurse Practitioner",99491,"N/A",393.74,1,true,true,true,true,true,7,"Nurse Practitioner",99491,"N/A",393.74,1]
[7,"Nurse Practitioner",99495,"N/A",708.73,1,true,true,true,true,true,7,"Nurse Practitioner",99495,"N/A",708.73,1]
[7,"Nurse Practitioner",99496,"N/A",984.35,1,true,true,true,true,true,7,"Nurse Practitioner",99496,"N/A",984.35,1]
[7,"Nurse Practitioner","G0316","N/A",196.87,1,true,true,true,true,true,7,"Nurse Practitioner","G0316","N/A",196.87,1]
[7,"Nurse Practitioner","G0396","N/A",301.87,1,true,true,true,true,true,7,"Nurse Practitioner","G0396","N/A",301.87,1]
[7,"Nurse Practitioner","G0397","N/A",787.48,1,true,true,true,true,true,7,"Nurse Practitioner","G0397","N/A",787.48,1]
[7,"Nurse Practitioner","G0539","N/A",301.87,1,true,true,true,true,true,7,"Nurse Practitioner","G0539","N/A",301.87,1]
[7,"Nurse Practitioner","G0540","N/A",196.87,1,true,true,true,true,true,7,"Nurse Practitioner","G0540","N/A",196.87,1]
[7,"Nurse Practitioner","G0541","N/A",301.87,1,true,true,true,true,true,7,"Nurse Practitioner","G0541","N/A",301.87,1]
[7,"Nurse Practitioner","G0542","N/A",196.87,1,true,true,true,true,true,7,"Nurse Practitioner","G0542","N/A",196.87,1]
[7,"Nurse Practitioner","G0543","N/A",131.25,1,true,true,true,true,true,7,"Nurse Practitioner","G0543","N/A",131.25,1]
[7,"Nurse Practitioner","G2011","N/A",131.25,1,true,true,true,true,true,7,"Nurse Practitioner","G2011","N/A",131.25,1]
[7,"Nurse Practitioner","H0001","N/A",196.87,1,true,true,true,true,true,7,"Nurse Practitioner","H0001","N/A",196.87,1]
[7,"Nurse Practitioner","H0003","N/A",196.87,1,true,true,true,true,true,7,"Nurse Practitioner","H0003","N/A",196.87,1]
[7,"Nurse Practitioner","H0004","N/A",196.87,1,true,true,true,true,true,7,"Nurse Practitioner","H0004","N/A",196.87,1]
[7,"Nurse Practitioner","H0005","N/A",43.75,1,true,true,true,true,true,7,"Nurse Practitioner","H0005","N/A",43.75,1]
[7,"Nurse Practitioner","H0007","N/A",196.87,1,true,true,true,true,true,7,"Nurse Practitioner","H0007","N/A",196.87,1]
[7,"Nurse Practitioner","H0008","N/A",196.87,1,true,true,true,true,true,7,"Nurse Practitioner","H0008","N/A",196.87,1]
[7,"Nurse Practitioner","H0009","N/A",196.87,1,true,true,true,true,true,7,"Nurse Practitioner","H0009","N/A",196.87,1]
[7,"Nurse Practitioner","H0033","N/A",196.87,1,true,true,true,true,true,7,"Nurse Practitioner","H0033","N/A",196.87,1]
[7,"Nurse Practitioner","H0034","N/A",196.87,1,true,true,true,true,true,7,"Nurse Practitioner","H0034","N/A",196.87,1]
[7,"Nurse Practitioner","H0034","HQ",43.75,1,true,true,true,true,true,7,"Nurse Practitioner","H0034","HQ",43.75,1]
[7,"Nurse Practitioner","H0048","N/A",196.87,1,true,true,true,true,true,7,"Nurse Practitioner","H0048","N/A",196.87,1]
[7,"Nurse Practitioner","H0049","N/A",196.87,1,true,true,true,true,true,7,"Nurse Practitioner","H0049","N/A",196.87,1]
[7,"Nurse Practitioner","H0050","N/A",196.87,1,true,true,true,true,true,7,"Nurse Practitioner","H0050","N/A",196.87,1]
[7,"Nurse Practitioner","H1000","N/A",196.87,1,true,true,true,true,true,7,"Nurse Practitioner","H1000","N/A",196.87,1]
[7,"Nurse Practitioner","H2014","N/A",196.87,1,true,true,true,true,true,7,"Nurse Practitioner","H2014","N/A",196.87,1]
[7,"Nurse Practitioner","H2014","HQ",43.75,1,true,true,true,true,true,7,"Nurse Practitioner","H2014","HQ",43.75,1]
[7,"Nurse Practitioner","H2015","N/A",196.87,1,true,true,true,true,true,7,"Nurse Practitioner","H2015","N/A",196.87,1]
[7,"Nurse Practitioner","H2017","N/A",196.87,1,true,true,true,true,true,7,"Nurse Practitioner","H2017","N/A",196.87,1]
[7,"Nurse Practitioner","H2017","HQ",43.75,1,true,true,true,true,true,7,"Nurse Practitioner","H2017","HQ",43.75,1]
[7,"Nurse Practitioner","H2021","N/A",196.87,1,true,true,true,true,true,7,"Nurse Practitioner","H2021","N/A",196.87,1]
[7,"Nurse Practitioner","H2027","N/A",196.87,1,true,true,true,true,true,7,"Nurse Practitioner","H2027","N/A",196.87,1]
[7,"Nurse Practitioner","H2035","N/A",787.48,1,true,true,true,true,true,7,"Nurse Practitioner","H2035","N/A",787.48,1]
[7,"Nurse Practitioner","T1006","N/A",196.87,1,true,true,true,true,true,7,"Nurse Practitioner","T1006","N/A",196.87,1]
[7,"Nurse Practitioner","T1007","N/A",196.87,1,true,true,true,true,true,7,"Nurse Practitioner","T1007","N/A",196.87,1]
[7,"Nurse Practitioner","T1013","N/A",31.88,1,true,true,true,true,true,7,"Nurse Practitioner","T1013","N/A",31.88,1]
[7,"Nurse Practitioner","T1017","N/A",196.87,1,true,true,true,true,true,7,"Nurse Practitioner","T1017","N/A",196.87,1]
[7,"Nurse Practitioner","T2021","N/A",196.87,1,true,true,true,true,true,7,"Nurse Practitioner","T2021","N/A",196.87,1]
[7,"Nurse Practitioner","T2021","HQ",43.75,1,true,true,true,true,true,7,"Nurse Practitioner","T2021","HQ",43.75,1]
[7,"Nurse Practitioner","T2021",22,199.88,1,true,true,true,true,true,7,"Nurse Practitioner","T2021",22,199.88,1]
[7,"Nurse Practitioner","T2024","N/A",196.87,1,true,true,true,true,true,7,"Nurse Practitioner","T2024","N/A",196.87,1]
[7,"Occupational Therapist",90785,"N/A",18.89,1,true,true,true,true,true,7,"Occupational Therapist",90785,"N/A",18.89,1]
[7,"Occupational Therapist",90882,"N/A",137.16,1,true,true,true,true,true,7,"Occupational Therapist",90882,"N/A",137.16,1]
[7,"Occupational Therapist",90887,"N/A",457.18,1,true,true,true,true,true,7,"Occupational Therapist",90887,"N/A",457.18,1]
[7,"Occupational Therapist",90889,"N/A",137.16,1,true,true,true,true,true,7,"Occupational Therapist",90889,"N/A",137.16,1]
[7,"Occupational Therapist",96160,"N/A",137.16,1,true,true,true,true,true,7,"Occupational Therapist",96160,"N/A",137.16,1]
[7,"Occupational Therapist",96170,"N/A",274.31,1,true,true,true,true,true,7,"Occupational Therapist",96170,"N/A",274.31,1]
[7,"Occupational Therapist",96171,"N/A",137.16,1,true,true,true,true,true,7,"Occupational Therapist",96171,"N/A",137.16,1]
[7,"Occupational Therapist",96202,"N/A",121.92,1,true,true,true,true,true,7,"Occupational Therapist",96202,"N/A",121.92,1]
[7,"Occupational Therapist",96203,"N/A",30.48,1,true,true,true,true,true,7,"Occupational Therapist",96203,"N/A",30.48,1]
[7,"Occupational Therapist",97550,"N/A",210.3,1,true,true,true,true,true,7,"Occupational Therapist",97550,"N/A",210.3,1]
[7,"Occupational Therapist",97551,"N/A",137.16,1,true,true,true,true,true,7,"Occupational Therapist",97551,"N/A",137.16,1]
[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","G0539","N/A",210.3,1,true,true,true,true,true,7,"Occupational Therapist","G0539","N/A",210.3,1]
[7,"Occupational Therapist","G0540","N/A",137.16,1,true,true,true,true,true,7,"Occupational Therapist","G0540","N/A",137.16,1]
[7,"Occupational Therapist","G0541","N/A",210.3,1,{"$f":"EXACT(A1219,L1219)","v":true},{"$f":"EXACT(B1219,M1219)","v":true},{"$f":"EXACT(C1219,N1219)","v":true},{"$f":"EXACT(D1219,O1219)","v":true},{"$f":"EXACT(E1219,P1219)","v":true},7,"Occupational Therapist","G0541","N/A",210.3,1]
[7,"Occupational Therapist","G0542","N/A",137.16,1,true,true,true,true,true,7,"Occupational Therapist","G0542","N/A",137.16,1]
[7,"Occupational Therapist","G0543","N/A",91.44,1,true,true,true,true,true,7,"Occupational Therapist","G0543","N/A",91.44,1]
[7,"Occupational Therapist","H0001","N/A",137.16,1,true,true,true,true,true,7,"Occupational Therapist","H0001","N/A",137.16,1]
[7,"Occupational Therapist","H0004","N/A",137.16,1,true,true,true,true,true,7,"Occupational Therapist","H0004","N/A",137.16,1]
[7,"Occupational Therapist","H0005","N/A",30.48,1,true,true,true,true,true,7,"Occupational Therapist","H0005","N/A",30.48,1]
[7,"Occupational Therapist","H0007","N/A",137.16,{"$f":"IF(C1225=\"G0323\",9,1)","v":1},true,true,true,true,true,7,"Occupational Therapist","H0007","N/A",137.16,{"$f":"IF(OR(N1225=\"H0036\",N1225=\"G0323\"),9,1)","v":1}]
[7,"Occupational Therapist","H0033","N/A",137.16,1,true,true,true,true,true,7,"Occupational Therapist","H0033","N/A",137.16,1]
[7,"Occupational Therapist","H0050","N/A",137.16,1,true,true,true,true,true,7,"Occupational Therapist","H0050","N/A",137.16,1]
[7,"Occupational Therapist","H2014","N/A",137.16,1,true,true,true,true,true,7,"Occupational Therapist","H2014","N/A",137.16,1]
[7,"Occupational Therapist","H2014","HQ",30.48,1,true,true,true,true,true,7,"Occupational Therapist","H2014","HQ",30.48,1]
[7,"Occupational Therapist","H2015","N/A",137.16,1,true,true,true,true,true,7,"Occupational Therapist","H2015","N/A",137.16,1]
[7,"Occupational Therapist","H2017","N/A",137.16,1,true,true,true,true,true,7,"Occupational Therapist","H2017","N/A",137.16,1]
[7,"Occupational Therapist","H2017","HQ",30.48,1,true,true,true,true,true,7,"Occupational Therapist","H2017","HQ",30.48,1]
[7,"Occupational Therapist","H2021","N/A",137.16,1,true,true,true,true,true,7,"Occupational Therapist","H2021","N/A",137.16,1]
[7,"Occupational Therapist","H2027","N/A",137.16,1,true,true,true,true,true,7,"Occupational Therapist","H2027","N/A",137.16,1]
[7,"Occupational Therapist","T1007","N/A",137.16,1,true,true,true,true,true,7,"Occupational Therapist","T1007","N/A",137.16,1]
[7,"Occupational Therapist","T1013","N/A",31.88,1,true,true,true,true,true,7,"Occupational Therapist","T1013","N/A",31.88,1]
[7,"Occupational Therapist","T1017","N/A",137.16,1,true,true,true,true,true,7,"Occupational Therapist","T1017","N/A",137.16,1]
[7,"Occupational Therapist","T2024","N/A",137.16,1,true,true,true,true,true,7,"Occupational Therapist","T2024","N/A",137.16,1]
[7,"Other Qualified Practitioner",90785,"N/A",18.32,1,true,true,true,true,true,7,"Other Qualified Practitioner",90785,"N/A",18.32,1]
[7,"Other Qualified Practitioner",90882,"N/A",77.52,1,true,true,true,true,true,7,"Other Qualified Practitioner",90882,"N/A",77.52,1]
[7,"Other Qualified Practitioner","G0396","N/A",118.86,1,true,true,true,true,true,7,"Other Qualified Practitioner","G0396","N/A",118.86,1]
[7,"Other Qualified Practitioner","G0397","N/A",310.07,1,true,true,true,true,true,7,"Other Qualified Practitioner","G0397","N/A",310.07,1]
[7,"Other Qualified Practitioner","G2011","N/A",51.68,1,true,true,true,true,true,7,"Other Qualified Practitioner","G2011","N/A",51.68,1]
[7,"Other Qualified Practitioner","H0001","N/A",77.52,1,true,true,true,true,true,7,"Other Qualified Practitioner","H0001","N/A",77.52,1]
[7,"Other Qualified Practitioner","H0049","N/A",77.52,1,true,true,true,true,true,7,"Other Qualified Practitioner","H0049","N/A",77.52,1]
[7,"Other Qualified Practitioner","H0050","N/A",77.52,1,true,true,true,true,true,7,"Other Qualified Practitioner","H0050","N/A",77.52,1]
[7,"Other Qualified Practitioner","H1000","N/A",77.52,1,true,true,true,true,true,7,"Other Qualified Practitioner","H1000","N/A",77.52,1]
[7,"Other Qualified Practitioner","H2014","N/A",77.52,1,true,true,true,true,true,7,"Other Qualified Practitioner","H2014","N/A",77.52,1]
[7,"Other Qualified Practitioner","H2014","HQ",17.23,1,true,true,true,true,true,7,"Other Qualified Practitioner","H2014","HQ",17.23,1]
[7,"Other Qualified Practitioner","H2015","N/A",77.52,1,true,true,true,true,true,7,"Other Qualified Practitioner","H2015","N/A",77.52,1]
[7,"Other Qualified Practitioner","H2017","N/A",77.52,1,true,true,true,true,true,7,"Other Qualified Practitioner","H2017","N/A",77.52,1]
[7,"Other Qualified Practitioner","H2017","HQ",17.23,1,true,true,true,true,true,7,"Other Qualified Practitioner","H2017","HQ",17.23,1]
[7,"Other Qualified Practitioner","H2021","N/A",77.52,1,true,true,true,true,true,7,"Other Qualified Practitioner","H2021","N/A",77.52,1]
[7,"Other Qualified Practitioner","H2027","N/A",77.52,1,true,true,true,true,true,7,"Other Qualified Practitioner","H2027","N/A",77.52,1]
[7,"Other Qualified Practitioner","H2035","N/A",310.07,1,true,true,true,true,true,7,"Other Qualified Practitioner","H2035","N/A",310.07,1]
[7,"Other Qualified Practitioner","T1013","N/A",31.88,1,true,true,true,true,true,7,"Other Qualified Practitioner","T1013","N/A",31.88,1]
[7,"Other Qualified Practitioner","T1017","N/A",77.52,1,true,true,true,true,true,7,"Other Qualified Practitioner","T1017","N/A",77.52,1]
[7,"Other Qualified Practitioner","T2024","N/A",77.52,1,true,true,true,true,true,7,"Other Qualified Practitioner","T2024","N/A",77.52,1]
[7,"Peer Support Specialists","H0025","N/A",18.09,1,true,true,true,true,true,7,"Peer Support Specialists","H0025","N/A",18.09,1]
[7,"Peer Support Specialists","H0038","N/A",81.400000000000006,1,true,true,true,true,true,7,"Peer Support Specialists","H0038","N/A",81.400000000000006,1]
[7,"Peer Support Specialists","H0050","N/A",81.400000000000006,1,true,true,true,true,true,7,"Peer Support Specialists","H0050","N/A",81.400000000000006,1]
[7,"Physician Assistant",90785,"N/A",18.89,1,true,true,true,true,true,7,"Physician Assistant",90785,"N/A",18.89,1]
[7,"Physician Assistant",90791,"N/A",710.23,1,true,true,true,true,true,7,"Physician Assistant",90791,"N/A",710.23,1]
[7,"Physician Assistant",90792,"N/A",710.23,1,true,true,true,true,true,7,"Physician Assistant",90792,"N/A",710.23,1]
[7,"Physician Assistant",90846,"N/A",591.86,1,true,true,true,true,true,7,"Physician Assistant",90846,"N/A",591.86,1]
[7,"Physician Assistant",90847,"N/A",591.86,1,true,true,true,true,true,7,"Physician Assistant",90847,"N/A",591.86,1]
[7,"Physician Assistant",90849,"N/A",220.96,1,true,true,true,true,true,7,"Physician Assistant",90849,"N/A",220.96,1]
[7,"Physician Assistant",90865,"N/A",1065.3499999999999,1,true,true,true,true,true,7,"Physician Assistant",90865,"N/A",1065.3499999999999,1]
[7,"Physician Assistant",90882,"N/A",177.56,1,true,true,true,true,true,7,"Physician Assistant",90882,"N/A",177.56,1]
[7,"Physician Assistant",90885,"N/A",710.23,1,true,true,true,true,true,7,"Physician Assistant",90885,"N/A",710.23,1]
[7,"Physician Assistant",90887,"N/A",591.86,1,true,true,true,true,true,7,"Physician Assistant",90887,"N/A",591.86,1]
[7,"Physician Assistant",90889,"N/A",177.56,1,true,true,true,true,true,7,"Physician Assistant",90889,"N/A",177.56,1]
[7,"Physician Assistant",96130,"N/A",710.23,1,true,true,true,true,true,7,"Physician Assistant",96130,"N/A",710.23,1]
[7,"Physician Assistant",96131,"N/A",710.23,1,true,true,true,true,true,7,"Physician Assistant",96131,"N/A",710.23,1]
[7,"Physician Assistant",96160,"N/A",177.56,1,true,true,true,true,true,7,"Physician Assistant",96160,"N/A",177.56,1]
[7,"Physician Assistant",96170,"N/A",355.12,1,true,true,true,true,true,7,"Physician Assistant",96170,"N/A",355.12,1]
[7,"Physician Assistant",96171,"N/A",177.56,1,true,true,true,true,true,7,"Physician Assistant",96171,"N/A",177.56,1]
[7,"Physician Assistant",96202,"N/A",157.83000000000001,1,true,true,true,true,true,7,"Physician Assistant",96202,"N/A",157.83000000000001,1]
[7,"Physician Assistant",96203,"N/A",39.46,1,true,true,true,true,true,7,"Physician Assistant",96203,"N/A",39.46,1]
[7,"Physician Assistant",97550,"N/A",272.25,1,true,true,true,true,true,7,"Physician Assistant",97550,"N/A",272.25,1]
[7,"Physician Assistant",97551,"N/A",177.56,1,true,true,true,true,true,7,"Physician Assistant",97551,"N/A",177.56,1]
[7,"Physician Assistant",97552,"N/A",118.37,1,true,true,true,true,true,7,"Physician Assistant",97552,"N/A",118.37,1]
[7,"Physician Assistant",98966,"N/A",94.7,1,{"$f":"EXACT(A1283,L1283)","v":true},{"$f":"EXACT(B1283,M1283)","v":true},{"$f":"EXACT(C1283,N1283)","v":true},{"$f":"EXACT(D1283,O1283)","v":true},{"$f":"EXACT(E1283,P1283)","v":true},7,"Physician Assistant",98966,"N/A",94.7,1]
[7,"Physician Assistant",98967,"N/A",189.39,1,true,true,true,true,true,7,"Physician Assistant",98967,"N/A",189.39,1]
[7,"Physician Assistant",98968,"N/A",307.77,1,true,true,true,true,true,7,"Physician Assistant",98968,"N/A",307.77,1]
[7,"Physician Assistant",99202,"N/A",260.42,1,true,true,true,true,true,7,"Physician Assistant",99202,"N/A",260.42,1]
[7,"Physician Assistant",99203,"N/A",437.98,1,true,true,true,true,true,7,"Physician Assistant",99203,"N/A",437.98,1]
[7,"Physician Assistant",99204,"N/A",615.53,1,true,true,true,true,true,7,"Physician Assistant",99204,"N/A",615.53,1]
[7,"Physician Assistant",99205,"N/A",793.09,{"$f":"IF(C1289=\"G0323\",9,1)","v":1},true,true,true,true,true,7,"Physician Assistant",99205,"N/A",793.09,{"$f":"IF(OR(N1289=\"H0036\",N1289=\"G0323\"),9,1)","v":1}]
[7,"Physician Assistant",99212,"N/A",177.56,1,true,true,true,true,true,7,"Physician Assistant",99212,"N/A",177.56,1]
[7,"Physician Assistant",99213,"N/A",295.93,1,true,true,true,true,true,7,"Physician Assistant",99213,"N/A",295.93,1]
[7,"Physician Assistant",99214,"N/A",414.3,1,true,true,true,true,true,7,"Physician Assistant",99214,"N/A",414.3,1]
[7,"Physician Assistant",99215,"N/A",556.35,1,true,true,true,true,true,7,"Physician Assistant",99215,"N/A",556.35,1]
[7,"Physician Assistant",99234,"N/A",674.72,1,true,true,true,true,true,7,"Physician Assistant",99234,"N/A",674.72,1]
[7,"Physician Assistant",99235,"N/A",911.46,1,true,true,true,true,true,7,"Physician Assistant",99235,"N/A",911.46,1]
[7,"Physician Assistant",99236,"N/A",1089.02,1,true,true,true,true,true,7,"Physician Assistant",99236,"N/A",1089.02,1]
[7,"Physician Assistant",99238,"N/A",355.12,1,true,true,true,true,true,7,"Physician Assistant",99238,"N/A",355.12,1]
[7,"Physician Assistant",99239,"N/A",710.23,1,true,true,true,true,true,7,"Physician Assistant",99239,"N/A",710.23,1]
[7,"Physician Assistant",99304,"N/A",355.12,1,true,true,true,true,true,7,"Physician Assistant",99304,"N/A",355.12,1]
[7,"Physician Assistant",99305,"N/A",497.16,1,true,true,true,true,true,7,"Physician Assistant",99305,"N/A",497.16,1]
[7,"Physician Assistant",99306,"N/A",674.72,1,true,true,true,true,true,7,"Physician Assistant",99306,"N/A",674.72,1]
[7,"Physician Assistant",99307,"N/A",177.56,1,true,true,true,true,true,7,"Physician Assistant",99307,"N/A",177.56,1]
[7,"Physician Assistant",99308,"N/A",295.93,1,true,true,true,true,true,7,"Physician Assistant",99308,"N/A",295.93,1]
[7,"Physician Assistant",99309,"N/A",437.98,1,true,true,true,true,true,7,"Physician Assistant",99309,"N/A",437.98,1]
[7,"Physician Assistant",99310,"N/A",615.53,1,true,true,true,true,true,7,"Physician Assistant",99310,"N/A",615.53,1]
[7,"Physician Assistant",99341,"N/A",260.42,1,true,true,true,true,true,7,"Physician Assistant",99341,"N/A",260.42,1]
[7,"Physician Assistant",99342,"N/A",532.66999999999996,1,true,true,true,true,true,7,"Physician Assistant",99342,"N/A",532.66999999999996,1]
[7,"Physician Assistant",99344,"N/A",793.09,1,true,true,true,true,true,7,"Physician Assistant",99344,"N/A",793.09,1]
[7,"Physician Assistant",99345,"N/A",970.65,1,true,true,true,true,true,7,"Physician Assistant",99345,"N/A",970.65,1]
[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",99348,"N/A",414.3,1,true,true,true,true,true,7,"Physician Assistant",99348,"N/A",414.3,1]
[7,"Physician Assistant",99349,"N/A",591.86,1,true,true,true,true,true,7,"Physician Assistant",99349,"N/A",591.86,1]
[7,"Physician Assistant",99350,"N/A",793.09,1,true,true,true,true,true,7,"Physician Assistant",99350,"N/A",793.09,1]
[7,"Physician Assistant",99368,"N/A",710.23,1,true,true,true,true,true,7,"Physician Assistant",99368,"N/A",710.23,1]
[7,"Physician Assistant",99408,"N/A",272.25,1,true,true,true,true,true,7,"Physician Assistant",99408,"N/A",272.25,1]
[7,"Physician Assistant",99409,"N/A",710.23,1,true,true,true,true,true,7,"Physician Assistant",99409,"N/A",710.23,1]
[7,"Physician Assistant",99415,"N/A",710.23,1,true,true,true,true,true,7,"Physician Assistant",99415,"N/A",710.23,1]
[7,"Physician Assistant",99416,"N/A",355.12,1,true,true,true,true,true,7,"Physician Assistant",99416,"N/A",355.12,1]
[7,"Physician Assistant",99417,"N/A",177.56,1,true,true,true,true,true,7,"Physician Assistant",99417,"N/A",177.56,1]
[7,"Physician Assistant",99418,"N/A",177.56,1,true,true,true,true,true,7,"Physician Assistant",99418,"N/A",177.56,1]
[7,"Physician Assistant",99424,"N/A",355.12,1,true,true,true,true,true,7,"Physician Assistant",99424,"N/A",355.12,1]
[7,"Physician Assistant",99425,"N/A",355.12,1,true,true,true,true,true,7,"Physician Assistant",99425,"N/A",355.12,1]
[7,"Physician Assistant",99437,"N/A",355.12,1,true,true,true,true,true,7,"Physician Assistant",99437,"N/A",355.12,1]
[7,"Physician Assistant",99441,"N/A",94.7,1,true,true,true,true,true,7,"Physician Assistant",99441,"N/A",94.7,1]
[7,"Physician Assistant",99442,"N/A",189.39,1,true,true,true,true,true,7,"Physician Assistant",99442,"N/A",189.39,1]
[7,"Physician Assistant",99443,"N/A",307.77,1,true,true,true,true,true,7,"Physician Assistant",99443,"N/A",307.77,1]
[7,"Physician Assistant",99491,"N/A",355.12,1,true,true,true,true,true,7,"Physician Assistant",99491,"N/A",355.12,1]
[7,"Physician Assistant",99495,"N/A",639.21,1,true,true,true,true,true,7,"Physician Assistant",99495,"N/A",639.21,1]
[7,"Physician Assistant",99496,"N/A",887.79,1,true,true,true,true,true,7,"Physician Assistant",99496,"N/A",887.79,1]
[7,"Physician Assistant","G0316","N/A",177.56,1,true,true,true,true,true,7,"Physician Assistant","G0316","N/A",177.56,1]
[7,"Physician Assistant","G0396","N/A",272.25,1,true,true,true,true,true,7,"Physician Assistant","G0396","N/A",272.25,1]
[7,"Physician Assistant","G0397","N/A",710.23,1,true,true,true,true,true,7,"Physician Assistant","G0397","N/A",710.23,1]
[7,"Physician Assistant","G0539","N/A",272.25,1,true,true,true,true,true,7,"Physician Assistant","G0539","N/A",272.25,1]
[7,"Physician Assistant","G0540","N/A",177.56,1,true,true,true,true,true,7,"Physician Assistant","G0540","N/A",177.56,1]
[7,"Physician Assistant","G0541","N/A",272.25,1,true,true,true,true,true,7,"Physician Assistant","G0541","N/A",272.25,1]
[7,"Physician Assistant","G0542","N/A",177.56,1,true,true,true,true,true,7,"Physician Assistant","G0542","N/A",177.56,1]
[7,"Physician Assistant","G0543","N/A",118.37,1,true,true,true,true,true,7,"Physician Assistant","G0543","N/A",118.37,1]
[7,"Physician Assistant","G2011","N/A",118.37,1,true,true,true,true,true,7,"Physician Assistant","G2011","N/A",118.37,1]
[7,"Physician Assistant","H0001","N/A",177.56,1,true,true,true,true,true,7,"Physician Assistant","H0001","N/A",177.56,1]
[7,"Physician Assistant","H0003","N/A",177.56,1,true,true,true,true,true,7,"Physician Assistant","H0003","N/A",177.56,1]
[7,"Physician Assistant","H0004","N/A",177.56,1,true,true,true,true,true,7,"Physician Assistant","H0004","N/A",177.56,1]
[7,"Physician Assistant","H0005","N/A",39.46,1,true,true,true,true,true,7,"Physician Assistant","H0005","N/A",39.46,1]
[7,"Physician Assistant","H0007","N/A",177.56,1,true,true,true,true,true,7,"Physician Assistant","H0007","N/A",177.56,1]
[7,"Physician Assistant","H0008","N/A",177.56,1,true,true,true,true,true,7,"Physician Assistant","H0008","N/A",177.56,1]
[7,"Physician Assistant","H0009","N/A",177.56,1,true,true,true,true,true,7,"Physician Assistant","H0009","N/A",177.56,1]
[7,"Physician Assistant","H0033","N/A",177.56,1,true,true,true,true,true,7,"Physician Assistant","H0033","N/A",177.56,1]
[7,"Physician Assistant","H0034","N/A",177.56,1,{"$f":"EXACT(A1347,L1347)","v":true},{"$f":"EXACT(B1347,M1347)","v":true},{"$f":"EXACT(C1347,N1347)","v":true},{"$f":"EXACT(D1347,O1347)","v":true},{"$f":"EXACT(E1347,P1347)","v":true},7,"Physician Assistant","H0034","N/A",177.56,1]
[7,"Physician Assistant","H0034","HQ",39.46,1,true,true,true,true,true,7,"Physician Assistant","H0034","HQ",39.46,1]
[7,"Physician Assistant","H0048","N/A",177.56,1,true,true,true,true,true,7,"Physician Assistant","H0048","N/A",177.56,1]
[7,"Physician Assistant","H0049","N/A",177.56,1,true,true,true,true,true,7,"Physician Assistant","H0049","N/A",177.56,1]
[7,"Physician Assistant","H0050","N/A",177.56,1,true,true,true,true,true,7,"Physician Assistant","H0050","N/A",177.56,1]
[7,"Physician Assistant","H1000","N/A",177.56,1,true,true,true,true,true,7,"Physician Assistant","H1000","N/A",177.56,1]
[7,"Physician Assistant","H2014","N/A",177.56,{"$f":"IF(C1353=\"G0323\",9,1)","v":1},true,true,true,true,true,7,"Physician Assistant","H2014","N/A",177.56,{"$f":"IF(OR(N1353=\"H0036\",N1353=\"G0323\"),9,1)","v":1}]
[7,"Physician Assistant","H2014","HQ",39.46,1,true,true,true,true,true,7,"Physician Assistant","H2014","HQ",39.46,1]
[7,"Physician Assistant","H2015","N/A",177.56,1,true,true,true,true,true,7,"Physician Assistant","H2015","N/A",177.56,1]
[7,"Physician Assistant","H2017","N/A",177.56,1,true,true,true,true,true,7,"Physician Assistant","H2017","N/A",177.56,1]
[7,"Physician Assistant","H2017","HQ",39.46,1,true,true,true,true,true,7,"Physician Assistant","H2017","HQ",39.46,1]
[7,"Physician Assistant","H2021","N/A",177.56,1,true,true,true,true,true,7,"Physician Assistant","H2021","N/A",177.56,1]
[7,"Physician Assistant","H2027","N/A",177.56,1,true,true,true,true,true,7,"Physician Assistant","H2027","N/A",177.56,1]
[7,"Physician Assistant","H2035","N/A",710.23,1,true,true,true,true,true,7,"Physician Assistant","H2035","N/A",710.23,1]
[7,"Physician Assistant","T1006","N/A",177.56,1,true,true,true,true,true,7,"Physician Assistant","T1006","N/A",177.56,1]
[7,"Physician Assistant","T1007","N/A",177.56,1,true,true,true,true,true,7,"Physician Assistant","T1007","N/A",177.56,1]
[7,"Physician Assistant","T1013","N/A",31.88,1,true,true,true,true,true,7,"Physician Assistant","T1013","N/A",31.88,1]
[7,"Physician Assistant","T1017","N/A",177.56,1,true,true,true,true,true,7,"Physician Assistant","T1017","N/A",177.56,1]
[7,"Physician Assistant","T2021","N/A",177.56,1,true,true,true,true,true,7,"Physician Assistant","T2021","N/A",177.56,1]
[7,"Physician Assistant","T2021","HQ",39.46,1,true,true,true,true,true,7,"Physician Assistant","T2021","HQ",39.46,1]
[7,"Physician Assistant","T2021",22,180.57,1,true,true,true,true,true,7,"Physician Assistant","T2021",22,180.57,1]
[7,"Physician Assistant","T2024","N/A",177.56,1,true,true,true,true,true,7,"Physician Assistant","T2024","N/A",177.56,1]
[7,"Psychologist (Licensed or Waivered)",90785,"N/A",18.89,1,true,true,true,true,true,7,"Psychologist (Licensed or Waivered)",90785,"N/A",18.89,1]
[7,"Psychologist (Licensed or Waivered)",90791,"N/A",636.87,1,true,true,true,true,true,7,"Psychologist (Licensed or Waivered)",90791,"N/A",636.87,1]
[7,"Psychologist (Licensed or Waivered)",90846,"N/A",530.73,1,true,true,true,true,true,7,"Psychologist (Licensed or Waivered)",90846,"N/A",530.73,1]
[7,"Psychologist (Licensed or Waivered)",90847,"N/A",530.73,1,true,true,true,true,true,7,"Psychologist (Licensed or Waivered)",90847,"N/A",530.73,1]
[7,"Psychologist (Licensed or Waivered)",90849,"N/A",198.14,1,true,true,true,true,true,7,"Psychologist (Licensed or Waivered)",90849,"N/A",198.14,1]
[7,"Psychologist (Licensed or Waivered)",90882,"N/A",159.22,1,true,true,true,true,true,7,"Psychologist (Licensed or Waivered)",90882,"N/A",159.22,1]
[7,"Psychologist (Licensed or Waivered)",90885,"N/A",636.87,1,true,true,true,true,true,7,"Psychologist (Licensed or Waivered)",90885,"N/A",636.87,1]
[7,"Psychologist (Licensed or Waivered)",90887,"N/A",530.73,1,true,true,true,true,true,7,"Psychologist (Licensed or Waivered)",90887,"N/A",530.73,1]
[7,"Psychologist (Licensed or Waivered)",90889,"N/A",159.22,1,true,true,true,true,true,7,"Psychologist (Licensed or Waivered)",90889,"N/A",159.22,1]
[7,"Psychologist (Licensed or Waivered)",96130,"N/A",636.87,1,true,true,true,true,true,7,"Psychologist (Licensed or Waivered)",96130,"N/A",636.87,1]
[7,"Psychologist (Licensed or Waivered)",96131,"N/A",636.87,1,true,true,true,true,true,7,"Psychologist (Licensed or Waivered)",96131,"N/A",636.87,1]
[7,"Psychologist (Licensed or Waivered)",96160,"N/A",159.22,1,true,true,true,true,true,7,"Psychologist (Licensed or Waivered)",96160,"N/A",159.22,1]
[7,"Psychologist (Licensed or Waivered)",96170,"N/A",318.44,1,true,true,true,true,true,7,"Psychologist (Licensed or Waivered)",96170,"N/A",318.44,1]
[7,"Psychologist (Licensed or Waivered)",96171,"N/A",159.22,1,true,true,true,true,true,7,"Psychologist (Licensed or Waivered)",96171,"N/A",159.22,1]
[7,"Psychologist (Licensed or Waivered)",96202,"N/A",141.53,1,true,true,true,true,true,7,"Psychologist (Licensed or Waivered)",96202,"N/A",141.53,1]
[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,"Psychologist (Licensed or Waivered)",97550,"N/A",244.13,1,true,true,true,true,true,7,"Psychologist (Licensed or Waivered)",97550,"N/A",244.13,1]
[7,"Psychologist (Licensed or Waivered)",97551,"N/A",159.22,1,true,true,true,true,true,7,"Psychologist (Licensed or Waivered)",97551,"N/A",159.22,1]
[7,"Psychologist (Licensed or Waivered)",97552,"N/A",106.15,1,true,true,true,true,true,7,"Psychologist (Licensed or Waivered)",97552,"N/A",106.15,1]
[7,"Psychologist (Licensed or Waivered)",98966,"N/A",84.92,1,true,true,true,true,true,7,"Psychologist (Licensed or Waivered)",98966,"N/A",84.92,1]
[7,"Psychologist (Licensed or Waivered)",98967,"N/A",169.83,1,true,true,true,true,true,7,"Psychologist (Licensed or Waivered)",98967,"N/A",169.83,1]
[7,"Psychologist (Licensed or Waivered)",98968,"N/A",275.98,1,true,true,true,true,true,7,"Psychologist (Licensed or Waivered)",98968,"N/A",275.98,1]
[7,"Psychologist (Licensed or Waivered)",99368,"N/A",636.87,1,true,true,true,true,true,7,"Psychologist (Licensed or Waivered)",99368,"N/A",636.87,1]
[7,"Psychologist (Licensed or Waivered)","G0396","N/A",244.13,1,true,true,true,true,true,7,"Psychologist (Licensed or Waivered)","G0396","N/A",244.13,1]
[7,"Psychologist (Licensed or Waivered)","G0397","N/A",636.87,1,true,true,true,true,true,7,"Psychologist (Licensed or Waivered)","G0397","N/A",636.87,1]
[7,"Psychologist (Licensed or Waivered)","G0539","N/A",244.13,1,true,true,true,true,true,7,"Psychologist (Licensed or Waivered)","G0539","N/A",244.13,1]
[7,"Psychologist (Licensed or Waivered)","G0540","N/A",159.22,1,true,true,true,true,true,7,"Psychologist (Licensed or Waivered)","G0540","N/A",159.22,1]
[7,"Psychologist (Licensed or Waivered)","G0541","N/A",244.13,1,true,true,true,true,true,7,"Psychologist (Licensed or Waivered)","G0541","N/A",244.13,1]
[7,"Psychologist (Licensed or Waivered)","G0542","N/A",159.22,1,true,true,true,true,true,7,"Psychologist (Licensed or Waivered)","G0542","N/A",159.22,1]
[7,"Psychologist (Licensed or Waivered)","G0543","N/A",106.15,1,true,true,true,true,true,7,"Psychologist (Licensed or Waivered)","G0543","N/A",106.15,1]
[7,"Psychologist (Licensed or Waivered)","G2011","N/A",106.15,1,true,true,true,true,true,7,"Psychologist (Licensed or Waivered)","G2011","N/A",106.15,1]
[7,"Psychologist (Licensed or Waivered)","H0001","N/A",159.22,1,true,true,true,true,true,7,"Psychologist (Licensed or Waivered)","H0001","N/A",159.22,1]
[7,"Psychologist (Licensed or Waivered)","H0003","N/A",159.22,1,true,true,true,true,true,7,"Psychologist (Licensed or Waivered)","H0003","N/A",159.22,1]
[7,"Psychologist (Licensed or Waivered)","H0004","N/A",159.22,1,true,true,true,true,true,7,"Psychologist (Licensed or Waivered)","H0004","N/A",159.22,1]
[7,"Psychologist (Licensed or Waivered)","H0005","N/A",35.380000000000003,1,true,true,true,true,true,7,"Psychologist (Licensed or Waivered)","H0005","N/A",35.380000000000003,1]
[7,"Psychologist (Licensed or Waivered)","H0007","N/A",159.22,1,true,true,true,true,true,7,"Psychologist (Licensed or Waivered)","H0007","N/A",159.22,1]
[7,"Psychologist (Licensed or Waivered)","H0049","N/A",159.22,1,true,true,true,true,true,7,"Psychologist (Licensed or Waivered)","H0049","N/A",159.22,1]
[7,"Psychologist (Licensed or Waivered)","H0050","N/A",159.22,1,true,true,true,true,true,7,"Psychologist (Licensed or Waivered)","H0050","N/A",159.22,1]
[7,"Psychologist (Licensed or Waivered)","H1000","N/A",159.22,1,true,true,true,true,true,7,"Psychologist (Licensed or Waivered)","H1000","N/A",159.22,1]
[7,"Psychologist (Licensed or Waivered)","H2014","N/A",159.22,1,true,true,true,true,true,7,"Psychologist (Licensed or Waivered)","H2014","N/A",159.22,1]
[7,"Psychologist (Licensed or Waivered)","H2014","HQ",35.380000000000003,1,true,true,true,true,true,7,"Psychologist (Licensed or Waivered)","H2014","HQ",35.380000000000003,1]
[7,"Psychologist (Licensed or Waivered)","H2027","N/A",159.22,1,true,true,true,true,true,7,"Psychologist (Licensed or Waivered)","H2027","N/A",159.22,1]
[7,"Psychologist (Licensed or Waivered)","H2035","N/A",636.87,1,{"$f":"EXACT(A1411,L1411)","v":true},{"$f":"EXACT(B1411,M1411)","v":true},{"$f":"EXACT(C1411,N1411)","v":true},{"$f":"EXACT(D1411,O1411)","v":true},{"$f":"EXACT(E1411,P1411)","v":true},7,"Psychologist (Licensed or Waivered)","H2035","N/A",636.87,1]
[7,"Psychologist (Licensed or Waivered)","T1006","N/A",159.22,1,true,true,true,true,true,7,"Psychologist (Licensed or Waivered)","T1006","N/A",159.22,1]
[7,"Psychologist (Licensed or Waivered)","T1007","N/A",159.22,1,true,true,true,true,true,7,"Psychologist (Licensed or Waivered)","T1007","N/A",159.22,1]
[7,"Psychologist (Licensed or Waivered)","T1013","N/A",31.88,1,true,true,true,true,true,7,"Psychologist (Licensed or Waivered)","T1013","N/A",31.88,1]
[7,"Psychologist (Licensed or Waivered)","T1017","N/A",159.22,1,true,true,true,true,true,7,"Psychologist (Licensed or Waivered)","T1017","N/A",159.22,1]
[7,"Psychologist (Licensed or Waivered)","T2021","N/A",159.22,1,true,true,true,true,true,7,"Psychologist (Licensed or Waivered)","T2021","N/A",159.22,1]
[7,"Psychologist (Licensed or Waivered)","T2021","HQ",35.380000000000003,{"$f":"IF(C1417=\"G0323\",9,1)","v":1},true,true,true,true,true,7,"Psychologist (Licensed or Waivered)","T2021","HQ",35.380000000000003,{"$f":"IF(OR(N1417=\"H0036\",N1417=\"G0323\"),9,1)","v":1}]
[7,"Psychologist (Licensed or Waivered)","T2021",22,162.22999999999999,1,true,true,true,true,true,7,"Psychologist (Licensed or Waivered)","T2021",22,162.22999999999999,1]
[7,"Psychologist (Licensed or Waivered)","T2024","N/A",159.22,1,true,true,true,true,true,7,"Psychologist (Licensed or Waivered)","T2024","N/A",159.22,1]
[7,"Registered Nurse",90785,"N/A",18.89,1,true,true,true,true,true,7,"Registered Nurse",90785,"N/A",18.89,1]
[7,"Registered Nurse",90882,"N/A",160.81,1,true,true,true,true,true,7,"Registered Nurse",90882,"N/A",160.81,1]
[7,"Registered Nurse",90887,"N/A",536.03,1,true,true,true,true,true,7,"Registered Nurse",90887,"N/A",536.03,1]
[7,"Registered Nurse",90889,"N/A",160.81,1,true,true,true,true,true,7,"Registered Nurse",90889,"N/A",160.81,1]
[7,"Registered Nurse",96160,"N/A",160.81,1,true,true,true,true,true,7,"Registered Nurse",96160,"N/A",160.81,1]
[7,"Registered Nurse",96170,"N/A",321.62,1,true,true,true,true,true,7,"Registered Nurse",96170,"N/A",321.62,1]
[7,"Registered Nurse",96171,"N/A",160.81,1,true,true,true,true,true,7,"Registered Nurse",96171,"N/A",160.81,1]
[7,"Registered Nurse",96202,"N/A",142.94,1,true,true,true,true,true,7,"Registered Nurse",96202,"N/A",142.94,1]
[7,"Registered Nurse",96203,"N/A",35.74,1,true,true,true,true,true,7,"Registered Nurse",96203,"N/A",35.74,1]
[7,"Registered Nurse",97550,"N/A",246.57,1,true,true,true,true,true,7,"Registered Nurse",97550,"N/A",246.57,1]
[7,"Registered Nurse",97551,"N/A",160.81,1,true,true,true,true,true,7,"Registered Nurse",97551,"N/A",160.81,1]
[7,"Registered Nurse",97552,"N/A",107.21,1,true,true,true,true,true,7,"Registered Nurse",97552,"N/A",107.21,1]
[7,"Registered Nurse",99238,"N/A",321.62,1,true,true,true,true,true,7,"Registered Nurse",99238,"N/A",321.62,1]
[7,"Registered Nurse",99239,"N/A",643.23,1,true,true,true,true,true,7,"Registered Nurse",99239,"N/A",643.23,1]
[7,"Registered Nurse",99368,"N/A",643.23,1,true,true,true,true,true,7,"Registered Nurse",99368,"N/A",643.23,1]
[7,"Registered Nurse",99424,"N/A",321.62,1,true,true,true,true,true,7,"Registered Nurse",99424,"N/A",321.62,1]
[7,"Registered Nurse",99425,"N/A",321.62,1,true,true,true,true,true,7,"Registered Nurse",99425,"N/A",321.62,1]
[7,"Registered Nurse",99437,"N/A",321.62,1,true,true,true,true,true,7,"Registered Nurse",99437,"N/A",321.62,1]
[7,"Registered Nurse",99491,"N/A",321.62,1,true,true,true,true,true,7,"Registered Nurse",99491,"N/A",321.62,1]
[7,"Registered Nurse","G0396","N/A",246.57,1,true,true,true,true,true,7,"Registered Nurse","G0396","N/A",246.57,1]
[7,"Registered Nurse","G0397","N/A",643.23,1,true,true,true,true,true,7,"Registered Nurse","G0397","N/A",643.23,1]
[7,"Registered Nurse","G0539","N/A",246.57,1,true,true,true,true,true,7,"Registered Nurse","G0539","N/A",246.57,1]
[7,"Registered Nurse","G0540","N/A",160.81,1,true,true,true,true,true,7,"Registered Nurse","G0540","N/A",160.81,1]
[7,"Registered Nurse","G0541","N/A",246.57,1,true,true,true,true,true,7,"Registered Nurse","G0541","N/A",246.57,1]
[7,"Registered Nurse","G0542","N/A",160.81,1,true,true,true,true,true,7,"Registered Nurse","G0542","N/A",160.81,1]
[7,"Registered Nurse","G0543","N/A",107.21,1,true,true,true,true,true,7,"Registered Nurse","G0543","N/A",107.21,1]
[7,"Registered Nurse","G2011","N/A",107.21,1,true,true,true,true,true,7,"Registered Nurse","G2011","N/A",107.21,1]
[7,"Registered Nurse","H0001","N/A",160.81,1,true,true,true,true,true,7,"Registered Nurse","H0001","N/A",160.81,1]
[7,"Registered Nurse","H0003","N/A",160.81,1,true,true,true,true,true,7,"Registered Nurse","H0003","N/A",160.81,1]
[7,"Registered Nurse","H0004","N/A",160.81,1,true,true,true,true,true,7,"Registered Nurse","H0004","N/A",160.81,1]
[7,"Registered Nurse","H0005","N/A",35.74,1,true,true,true,true,true,7,"Registered Nurse","H0005","N/A",35.74,1]
[7,"Registered Nurse","H0007","N/A",160.81,1,true,true,true,true,true,7,"Registered Nurse","H0007","N/A",160.81,1]
[7,"Registered Nurse","H0008","N/A",160.81,1,true,true,true,true,true,7,"Registered Nurse","H0008","N/A",160.81,1]
[7,"Registered Nurse","H0009","N/A",160.81,1,true,true,true,true,true,7,"Registered Nurse","H0009","N/A",160.81,1]
[7,"Registered Nurse","H0033","N/A",160.81,1,true,true,true,true,true,7,"Registered Nurse","H0033","N/A",160.81,1]
[7,"Registered Nurse","H0034","N/A",160.81,1,true,true,true,true,true,7,"Registered Nurse","H0034","N/A",160.81,1]
[7,"Registered Nurse","H0034","HQ",35.74,1,true,true,true,true,true,7,"Registered Nurse","H0034","HQ",35.74,1]
[7,"Registered Nurse","H0048","N/A",160.81,1,true,true,true,true,true,7,"Registered Nurse","H0048","N/A",160.81,1]
[7,"Registered Nurse","H0049","N/A",160.81,1,true,true,true,true,true,7,"Registered Nurse","H0049","N/A",160.81,1]
[7,"Registered Nurse","H0050","N/A",160.81,1,true,true,true,true,true,7,"Registered Nurse","H0050","N/A",160.81,1]
[7,"Registered Nurse","H1000","N/A",160.81,1,true,true,true,true,true,7,"Registered Nurse","H1000","N/A",160.81,1]
[7,"Registered Nurse","H2014","N/A",160.81,1,true,true,true,true,true,7,"Registered Nurse","H2014","N/A",160.81,1]
[7,"Registered Nurse","H2014","HQ",35.74,1,true,true,true,true,true,7,"Registered Nurse","H2014","HQ",35.74,1]
[7,"Registered Nurse","H2015","N/A",160.81,1,true,true,true,true,true,7,"Registered Nurse","H2015","N/A",160.81,1]
[7,"Registered Nurse","H2021","N/A",160.81,1,true,true,true,true,true,7,"Registered Nurse","H2021","N/A",160.81,1]
[7,"Registered Nurse","T1006","N/A",160.81,1,true,true,true,true,true,7,"Registered Nurse","T1006","N/A",160.81,1]
[7,"Registered Nurse","T1007","N/A",160.81,1,true,true,true,true,true,7,"Registered Nurse","T1007","N/A",160.81,1]
[7,"Registered Nurse","T1013","N/A",31.88,1,true,true,true,true,true,7,"Registered Nurse","T1013","N/A",31.88,1]
[7,"Registered Nurse","T1017","N/A",160.81,1,true,true,true,true,true,7,"Registered Nurse","T1017","N/A",160.81,1]
[7,"Registered Nurse","T2024","N/A",160.81,1,true,true,true,true,true,7,"Registered Nurse","T2024","N/A",160.81,1]
[7,"Registered Pharmacist",90785,"N/A",18.89,1,true,true,true,true,true,7,"Registered Pharmacist",90785,"N/A",18.89,1]
[7,"Registered Pharmacist",90887,"N/A",631.69000000000005,1,true,true,true,true,true,7,"Registered Pharmacist",90887,"N/A",631.69000000000005,1]
[7,"Registered Pharmacist",96202,"N/A",168.45,1,true,true,true,true,true,7,"Registered Pharmacist",96202,"N/A",168.45,1]
[7,"Registered Pharmacist",96203,"N/A",42.11,1,true,true,true,true,true,7,"Registered Pharmacist",96203,"N/A",42.11,1]
[7,"Registered Pharmacist",97550,"N/A",290.58,1,true,true,true,true,true,7,"Registered Pharmacist",97550,"N/A",290.58,1]
[7,"Registered Pharmacist",97551,"N/A",189.51,1,{"$f":"EXACT(A1475,L1475)","v":true},{"$f":"EXACT(B1475,M1475)","v":true},{"$f":"EXACT(C1475,N1475)","v":true},{"$f":"EXACT(D1475,O1475)","v":true},{"$f":"EXACT(E1475,P1475)","v":true},7,"Registered Pharmacist",97551,"N/A",189.51,1]
[7,"Registered Pharmacist",97552,"N/A",126.34,1,true,true,true,true,true,7,"Registered Pharmacist",97552,"N/A",126.34,1]
[7,"Registered Pharmacist",99368,"N/A",758.03,1,true,true,true,true,true,7,"Registered Pharmacist",99368,"N/A",758.03,1]
[7,"Registered Pharmacist","G0396","N/A",290.58,1,true,true,true,true,true,7,"Registered Pharmacist","G0396","N/A",290.58,1]
[7,"Registered Pharmacist","G0397","N/A",758.03,1,true,true,true,true,true,7,"Registered Pharmacist","G0397","N/A",758.03,1]
[7,"Registered Pharmacist","G0539","N/A",290.58,1,true,true,true,true,true,7,"Registered Pharmacist","G0539","N/A",290.58,1]
[7,"Registered Pharmacist","G0540","N/A",189.51,{"$f":"IF(C1481=\"G0323\",9,1)","v":1},true,true,true,true,true,7,"Registered Pharmacist","G0540","N/A",189.51,{"$f":"IF(OR(N1481=\"H0036\",N1481=\"G0323\"),9,1)","v":1}]
[7,"Registered Pharmacist","G0541","N/A",290.58,1,true,true,true,true,true,7,"Registered Pharmacist","G0541","N/A",290.58,1]
[7,"Registered Pharmacist","G0542","N/A",189.51,1,true,true,true,true,true,7,"Registered Pharmacist","G0542","N/A",189.51,1]
[7,"Registered Pharmacist","G0543","N/A",126.34,1,true,true,true,true,true,7,"Registered Pharmacist","G0543","N/A",126.34,1]
[7,"Registered Pharmacist","G2011","N/A",126.34,1,true,true,true,true,true,7,"Registered Pharmacist","G2011","N/A",126.34,1]
[7,"Registered Pharmacist","H0001","N/A",189.51,1,true,true,true,true,true,7,"Registered Pharmacist","H0001","N/A",189.51,1]
[7,"Registered Pharmacist","H0003","N/A",189.51,1,true,true,true,true,true,7,"Registered Pharmacist","H0003","N/A",189.51,1]
[7,"Registered Pharmacist","H0008","N/A",189.51,1,true,true,true,true,true,7,"Registered Pharmacist","H0008","N/A",189.51,1]
[7,"Registered Pharmacist","H0009","N/A",189.51,1,true,true,true,true,true,7,"Registered Pharmacist","H0009","N/A",189.51,1]
[7,"Registered Pharmacist","H0033","N/A",189.51,1,true,true,true,true,true,7,"Registered Pharmacist","H0033","N/A",189.51,1]
[7,"Registered Pharmacist","H0034","N/A",189.51,1,true,true,true,true,true,7,"Registered Pharmacist","H0034","N/A",189.51,1]
[7,"Registered Pharmacist","H0034","HQ",42.11,1,true,true,true,true,true,7,"Registered Pharmacist","H0034","HQ",42.11,1]
[7,"Registered Pharmacist","H0048","N/A",189.51,1,true,true,true,true,true,7,"Registered Pharmacist","H0048","N/A",189.51,1]
[7,"Registered Pharmacist","H0049","N/A",189.51,1,true,true,true,true,true,7,"Registered Pharmacist","H0049","N/A",189.51,1]
[7,"Registered Pharmacist","H0050","N/A",189.51,1,true,true,true,true,true,7,"Registered Pharmacist","H0050","N/A",189.51,1]
[7,"Registered Pharmacist","H1000","N/A",189.51,1,true,true,true,true,true,7,"Registered Pharmacist","H1000","N/A",189.51,1]
[7,"Registered Pharmacist","H2017","N/A",189.51,1,true,true,true,true,true,7,"Registered Pharmacist","H2017","N/A",189.51,1]
[7,"Registered Pharmacist","H2017","HQ",42.11,1,true,true,true,true,true,7,"Registered Pharmacist","H2017","HQ",42.11,1]
[7,"Registered Pharmacist","H2021","N/A",189.51,1,true,true,true,true,true,7,"Registered Pharmacist","H2021","N/A",189.51,1]
[7,"Registered Pharmacist","H2035","N/A",758.03,1,true,true,true,true,true,7,"Registered Pharmacist","H2035","N/A",758.03,1]
[7,"Registered Pharmacist","T1013","N/A",31.88,1,true,true,true,true,true,7,"Registered Pharmacist","T1013","N/A",31.88,1]
[7,"Registered Pharmacist","T1017","N/A",189.51,1,true,true,true,true,true,7,"Registered Pharmacist","T1017","N/A",189.51,1]
[9,"Certified AOD Counselor",90785,"N/A",18.89,1,true,true,true,true,true,9,"Certified AOD Counselor",90785,"N/A",18.89,1]
[9,"Certified AOD Counselor",90882,"N/A",80.06,1,true,true,true,true,true,9,"Certified AOD Counselor",90882,"N/A",80.06,1]
[9,"Certified AOD Counselor","G0396","N/A",122.75,1,true,true,true,true,true,9,"Certified AOD Counselor","G0396","N/A",122.75,1]
[9,"Certified AOD Counselor","G0397","N/A",320.22000000000003,1,true,true,true,true,true,9,"Certified AOD Counselor","G0397","N/A",320.22000000000003,1]
[9,"Certified AOD Counselor","G2011","N/A",53.37,1,true,true,true,true,true,9,"Certified AOD Counselor","G2011","N/A",53.37,1]
[9,"Certified AOD Counselor","H0001","N/A",80.06,1,true,true,true,true,true,9,"Certified AOD Counselor","H0001","N/A",80.06,1]
[9,"Certified AOD Counselor","H0004","N/A",80.06,1,true,true,true,true,true,9,"Certified AOD Counselor","H0004","N/A",80.06,1]
[9,"Certified AOD Counselor","H0005","N/A",17.79,1,true,true,true,true,true,9,"Certified AOD Counselor","H0005","N/A",17.79,1]
[9,"Certified AOD Counselor","H0007","N/A",80.06,1,true,true,true,true,true,9,"Certified AOD Counselor","H0007","N/A",80.06,1]
[9,"Certified AOD Counselor","H0049","N/A",80.06,1,true,true,true,true,true,9,"Certified AOD Counselor","H0049","N/A",80.06,1]
[9,"Certified AOD Counselor","H0050","N/A",80.06,1,true,true,true,true,true,9,"Certified AOD Counselor","H0050","N/A",80.06,1]
[9,"Certified AOD Counselor","H1000","N/A",80.06,1,true,true,true,true,true,9,"Certified AOD Counselor","H1000","N/A",80.06,1]
[9,"Certified AOD Counselor","H2014","N/A",80.06,1,true,true,true,true,true,9,"Certified AOD Counselor","H2014","N/A",80.06,1]
[9,"Certified AOD Counselor","H2014","HQ",17.79,1,true,true,true,true,true,9,"Certified AOD Counselor","H2014","HQ",17.79,1]
[9,"Certified AOD Counselor","H2015","N/A",80.06,1,true,true,true,true,true,9,"Certified AOD Counselor","H2015","N/A",80.06,1]
[9,"Certified AOD Counselor","H2017","N/A",80.06,1,true,true,true,true,true,9,"Certified AOD Counselor","H2017","N/A",80.06,1]
[9,"Certified AOD Counselor","H2017","HQ",17.79,1,true,true,true,true,true,9,"Certified AOD Counselor","H2017","HQ",17.79,1]
[9,"Certified AOD Counselor","H2021","N/A",80.06,1,true,true,true,true,true,9,"Certified AOD Counselor","H2021","N/A",80.06,1]
[9,"Certified AOD Counselor","H2027","N/A",80.06,1,true,true,true,true,true,9,"Certified AOD Counselor","H2027","N/A",80.06,1]
[9,"Certified AOD Counselor","H2035","N/A",320.22000000000003,1,true,true,true,true,true,9,"Certified AOD Counselor","H2035","N/A",320.22000000000003,1]
[9,"Certified AOD Counselor","T1006","N/A",80.06,1,true,true,true,true,true,9,"Certified AOD Counselor","T1006","N/A",80.06,1]
[9,"Certified AOD Counselor","T1007","N/A",80.06,1,true,true,true,true,true,9,"Certified AOD Counselor","T1007","N/A",80.06,1]
[9,"Certified AOD Counselor","T1013","N/A",31.88,1,true,true,true,true,true,9,"Certified AOD Counselor","T1013","N/A",31.88,1]
[9,"Certified AOD Counselor","T1017","N/A",80.06,1,true,true,true,true,true,9,"Certified AOD Counselor","T1017","N/A",80.06,1]
[9,"Certified AOD Counselor","T2024","N/A",80.06,1,true,true,true,true,true,9,"Certified AOD Counselor","T2024","N/A",80.06,1]
[9,"Community Health Worker",98960,"N/A",148.86000000000001,1,true,true,true,true,true,9,"Community Health Worker",98960,"N/A",148.86000000000001,1]
[9,"Community Health Worker",98961,"N/A",49.62,1,true,true,true,true,true,9,"Community Health Worker",98961,"N/A",49.62,1]
[9,"Community Health Worker",98962,"N/A",22.9,1,true,true,true,true,true,9,"Community Health Worker",98962,"N/A",22.9,1]
[9,"Community Health Worker","G0019","N/A",297.70999999999998,1,true,true,true,true,true,9,"Community Health Worker","G0019","N/A",297.70999999999998,1]
[9,"Community Health Worker","G0022","N/A",148.86000000000001,1,true,true,true,true,true,9,"Community Health Worker","G0022","N/A",148.86000000000001,1]
[9,"LCSW (Licensed, Waivered or Registered)",90785,"N/A",18.89,1,true,true,true,true,true,9,"LCSW (Licensed, Waivered or Registered)",90785,"N/A",18.89,1]
[9,"LCSW (Licensed, Waivered or Registered)",90791,"N/A",386.05,1,true,true,true,true,true,9,"LCSW (Licensed, Waivered or Registered)",90791,"N/A",386.05,1]
[9,"LCSW (Licensed, Waivered or Registered)",90846,"N/A",321.70999999999998,1,true,true,true,true,true,9,"LCSW (Licensed, Waivered or Registered)",90846,"N/A",321.70999999999998,1]
[9,"LCSW (Licensed, Waivered or Registered)",90847,"N/A",321.70999999999998,1,true,true,true,true,true,9,"LCSW (Licensed, Waivered or Registered)",90847,"N/A",321.70999999999998,1]
[9,"LCSW (Licensed, Waivered or Registered)",90849,"N/A",120.1,1,true,true,true,true,true,9,"LCSW (Licensed, Waivered or Registered)",90849,"N/A",120.1,1]
[9,"LCSW (Licensed, Waivered or Registered)",90882,"N/A",96.51,1,true,true,true,true,true,9,"LCSW (Licensed, Waivered or Registered)",90882,"N/A",96.51,1]
[9,"LCSW (Licensed, Waivered or Registered)",90885,"N/A",386.05,1,{"$f":"EXACT(A1539,L1539)","v":true},{"$f":"EXACT(B1539,M1539)","v":true},{"$f":"EXACT(C1539,N1539)","v":true},{"$f":"EXACT(D1539,O1539)","v":true},{"$f":"EXACT(E1539,P1539)","v":true},9,"LCSW (Licensed, Waivered or Registered)",90885,"N/A",386.05,1]
[9,"LCSW (Licensed, Waivered or Registered)",90887,"N/A",321.70999999999998,1,true,true,true,true,true,9,"LCSW (Licensed, Waivered or Registered)",90887,"N/A",321.70999999999998,1]
[9,"LCSW (Licensed, Waivered or Registered)",90889,"N/A",96.51,1,true,true,true,true,true,9,"LCSW (Licensed, Waivered or Registered)",90889,"N/A",96.51,1]
[9,"LCSW (Licensed, Waivered or Registered)",96160,"N/A",96.51,1,true,true,true,true,true,9,"LCSW (Licensed, Waivered or Registered)",96160,"N/A",96.51,1]
[9,"LCSW (Licensed, Waivered or Registered)",96170,"N/A",193.03,1,true,true,true,true,true,9,"LCSW (Licensed, Waivered or Registered)",96170,"N/A",193.03,1]
[9,"LCSW (Licensed, Waivered or Registered)",96171,"N/A",96.51,1,true,true,true,true,true,9,"LCSW (Licensed, Waivered or Registered)",96171,"N/A",96.51,1]
[9,"LCSW (Licensed, Waivered or Registered)",96202,"N/A",85.79,{"$f":"IF(C1545=\"G0323\",9,1)","v":1},true,true,true,true,true,9,"LCSW (Licensed, Waivered or Registered)",96202,"N/A",85.79,{"$f":"IF(OR(N1545=\"H0036\",N1545=\"G0323\"),9,1)","v":1}]
[9,"LCSW (Licensed, Waivered or Registered)",96203,"N/A",21.45,1,true,true,true,true,true,9,"LCSW (Licensed, Waivered or Registered)",96203,"N/A",21.45,1]
[9,"LCSW (Licensed, Waivered or Registered)",97550,"N/A",147.99,1,true,true,true,true,true,9,"LCSW (Licensed, Waivered or Registered)",97550,"N/A",147.99,1]
[9,"LCSW (Licensed, Waivered or Registered)",97551,"N/A",96.51,1,true,true,true,true,true,9,"LCSW (Licensed, Waivered or Registered)",97551,"N/A",96.51,1]
[9,"LCSW (Licensed, Waivered or Registered)",97552,"N/A",64.34,1,true,true,true,true,true,9,"LCSW (Licensed, Waivered or Registered)",97552,"N/A",64.34,1]
[9,"LCSW (Licensed, Waivered or Registered)",98966,"N/A",51.47,1,true,true,true,true,true,9,"LCSW (Licensed, Waivered or Registered)",98966,"N/A",51.47,1]
[9,"LCSW (Licensed, Waivered or Registered)",98967,"N/A",102.95,1,true,true,true,true,true,9,"LCSW (Licensed, Waivered or Registered)",98967,"N/A",102.95,1]
[9,"LCSW (Licensed, Waivered or Registered)",98968,"N/A",167.29,1,true,true,true,true,true,9,"LCSW (Licensed, Waivered or Registered)",98968,"N/A",167.29,1]
[9,"LCSW (Licensed, Waivered or Registered)",99368,"N/A",386.05,1,true,true,true,true,true,9,"LCSW (Licensed, Waivered or Registered)",99368,"N/A",386.05,1]
[9,"LCSW (Licensed, Waivered or Registered)","G0396","N/A",147.99,1,true,true,true,true,true,9,"LCSW (Licensed, Waivered or Registered)","G0396","N/A",147.99,1]
[9,"LCSW (Licensed, Waivered or Registered)","G0397","N/A",386.05,1,true,true,true,true,true,9,"LCSW (Licensed, Waivered or Registered)","G0397","N/A",386.05,1]
[9,"LCSW (Licensed, Waivered or Registered)","G0539","N/A",147.99,1,true,true,true,true,true,9,"LCSW (Licensed, Waivered or Registered)","G0539","N/A",147.99,1]
[9,"LCSW (Licensed, Waivered or Registered)","G0540","N/A",96.51,1,true,true,true,true,true,9,"LCSW (Licensed, Waivered or Registered)","G0540","N/A",96.51,1]
[9,"LCSW (Licensed, Waivered or Registered)","G0541","N/A",147.99,1,true,true,true,true,true,9,"LCSW (Licensed, Waivered or Registered)","G0541","N/A",147.99,1]
[9,"LCSW (Licensed, Waivered or Registered)","G0542","N/A",96.51,1,true,true,true,true,true,9,"LCSW (Licensed, Waivered or Registered)","G0542","N/A",96.51,1]
[9,"LCSW (Licensed, Waivered or Registered)","G0543","N/A",64.34,1,true,true,true,true,true,9,"LCSW (Licensed, Waivered or Registered)","G0543","N/A",64.34,1]
[9,"LCSW (Licensed, Waivered or Registered)","G2011","N/A",64.34,1,true,true,true,true,true,9,"LCSW (Licensed, Waivered or Registered)","G2011","N/A",64.34,1]
[9,"LCSW (Licensed, Waivered or Registered)","H0001","N/A",96.51,1,true,true,true,true,true,9,"LCSW (Licensed, Waivered or Registered)","H0001","N/A",96.51,1]
[9,"LCSW (Licensed, Waivered or Registered)","H0004","N/A",96.51,1,true,true,true,true,true,9,"LCSW (Licensed, Waivered or Registered)","H0004","N/A",96.51,1]
[9,"LCSW (Licensed, Waivered or Registered)","H0005","N/A",21.45,1,true,true,true,true,true,9,"LCSW (Licensed, Waivered or Registered)","H0005","N/A",21.45,1]
[9,"LCSW (Licensed, Waivered or Registered)","H0007","N/A",96.51,1,true,true,true,true,true,9,"LCSW (Licensed, Waivered or Registered)","H0007","N/A",96.51,1]
[9,"LCSW (Licensed, Waivered or Registered)","H0049","N/A",96.51,1,true,true,true,true,true,9,"LCSW (Licensed, Waivered or Registered)","H0049","N/A",96.51,1]
[9,"LCSW (Licensed, Waivered or Registered)","H0050","N/A",96.51,1,true,true,true,true,true,9,"LCSW (Licensed, Waivered or Registered)","H0050","N/A",96.51,1]
[9,"LCSW (Licensed, Waivered or Registered)","H1000","N/A",96.51,1,true,true,true,true,true,9,"LCSW (Licensed, Waivered or Registered)","H1000","N/A",96.51,1]
[9,"LCSW (Licensed, Waivered or Registered)","H2014","N/A",96.51,1,true,true,true,true,true,9,"LCSW (Licensed, Waivered or Registered)","H2014","N/A",96.51,1]
[9,"LCSW (Licensed, Waivered or Registered)","H2014","HQ",21.45,1,true,true,true,true,true,9,"LCSW (Licensed, Waivered or Registered)","H2014","HQ",21.45,1]
[9,"LCSW (Licensed, Waivered or Registered)","H2015","N/A",96.51,1,true,true,true,true,true,9,"LCSW (Licensed, Waivered or Registered)","H2015","N/A",96.51,1]
[9,"LCSW (Licensed, Waivered or Registered)","H2017","N/A",96.51,1,true,true,true,true,true,9,"LCSW (Licensed, Waivered or Registered)","H2017","N/A",96.51,1]
[9,"LCSW (Licensed, Waivered or Registered)","H2017","HQ",21.45,1,true,true,true,true,true,9,"LCSW (Licensed, Waivered or Registered)","H2017","HQ",21.45,1]
[9,"LCSW (Licensed, Waivered or Registered)","H2021","N/A",96.51,1,true,true,true,true,true,9,"LCSW (Licensed, Waivered or Registered)","H2021","N/A",96.51,1]
[9,"LCSW (Licensed, Waivered or Registered)","H2027","N/A",96.51,1,true,true,true,true,true,9,"LCSW (Licensed, Waivered or Registered)","H2027","N/A",96.51,1]
[9,"LCSW (Licensed, Waivered or Registered)","H2035","N/A",386.05,1,true,true,true,true,true,9,"LCSW (Licensed, Waivered or Registered)","H2035","N/A",386.05,1]
[9,"LCSW (Licensed, Waivered or Registered)","T1006","N/A",96.51,1,true,true,true,true,true,9,"LCSW (Licensed, Waivered or Registered)","T1006","N/A",96.51,1]
[9,"LCSW (Licensed, Waivered or Registered)","T1007","N/A",96.51,1,true,true,true,true,true,9,"LCSW (Licensed, Waivered or Registered)","T1007","N/A",96.51,1]
[9,"LCSW (Licensed, Waivered or Registered)","T1013","N/A",31.88,1,true,true,true,true,true,9,"LCSW (Licensed, Waivered or Registered)","T1013","N/A",31.88,1]
[9,"LCSW (Licensed, Waivered or Registered)","T1017","N/A",96.51,1,true,true,true,true,true,9,"LCSW (Licensed, Waivered or Registered)","T1017","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,"LCSW (Licensed, Waivered or Registered)","T2021","HQ",21.45,1,true,true,true,true,true,9,"LCSW (Licensed, Waivered or Registered)","T2021","HQ",21.45,1]
[9,"LCSW (Licensed, Waivered or Registered)","T2021",22,99.52,1,true,true,true,true,true,9,"LCSW (Licensed, Waivered or Registered)","T2021",22,99.52,1]
[9,"LCSW (Licensed, Waivered or Registered)","T2024","N/A",96.51,1,true,true,true,true,true,9,"LCSW (Licensed, Waivered or Registered)","T2024","N/A",96.51,1]
[9,"Licensed Physician",90785,"N/A",18.89,1,true,true,true,true,true,9,"Licensed Physician",90785,"N/A",18.89,1]
[9,"Licensed Physician",90791,"N/A",1483.35,1,true,true,true,true,true,9,"Licensed Physician",90791,"N/A",1483.35,1]
[9,"Licensed Physician",90792,"N/A",1483.35,1,true,true,true,true,true,9,"Licensed Physician",90792,"N/A",1483.35,1]
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[9,"Licensed Physician",90865,"N/A",2225.0300000000002,1,true,true,true,true,true,9,"Licensed Physician",90865,"N/A",2225.0300000000002,1]
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[9,"Licensed Physician",99203,"N/A",914.73,1,true,true,true,true,true,9,"Licensed Physician",99203,"N/A",914.73,1]
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[9,"Licensed Physician",99215,"N/A",1161.96,1,true,true,true,true,true,9,"Licensed Physician",99215,"N/A",1161.96,1]
[9,"Licensed Physician",99234,"N/A",1409.18,1,true,true,true,true,true,9,"Licensed Physician",99234,"N/A",1409.18,1]
[9,"Licensed Physician",99235,"N/A",1903.63,1,true,true,true,true,true,9,"Licensed Physician",99235,"N/A",1903.63,1]
[9,"Licensed Physician",99236,"N/A",2274.4699999999998,1,true,true,true,true,true,9,"Licensed Physician",99236,"N/A",2274.4699999999998,1]
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[9,"Licensed Physician",99239,"N/A",1483.35,1,true,true,true,true,true,9,"Licensed Physician",99239,"N/A",1483.35,1]
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[9,"Licensed Physician",99307,"N/A",370.84,1,true,true,true,true,true,9,"Licensed Physician",99307,"N/A",370.84,1]
[9,"Licensed Physician",99308,"N/A",618.05999999999995,1,true,true,true,true,true,9,"Licensed Physician",99308,"N/A",618.05999999999995,1]
[9,"Licensed Physician",99309,"N/A",914.73,1,true,true,true,true,true,9,"Licensed Physician",99309,"N/A",914.73,1]
[9,"Licensed Physician",99310,"N/A",1285.57,1,true,true,true,true,true,9,"Licensed Physician",99310,"N/A",1285.57,1]
[9,"Licensed Physician",99341,"N/A",543.9,1,true,true,true,true,true,9,"Licensed Physician",99341,"N/A",543.9,1]
[9,"Licensed Physician",99342,"N/A",1112.51,1,true,true,true,true,true,9,"Licensed Physician",99342,"N/A",1112.51,1]
[9,"Licensed Physician",99344,"N/A",1656.41,1,true,true,true,true,true,9,"Licensed Physician",99344,"N/A",1656.41,1]
[9,"Licensed Physician",99345,"N/A",2027.25,1,true,true,true,true,true,9,"Licensed Physician",99345,"N/A",2027.25,1]
[9,"Licensed Physician",99347,"N/A",618.05999999999995,1,true,true,true,true,true,9,"Licensed Physician",99347,"N/A",618.05999999999995,1]
[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 Physician",99349,"N/A",1236.1300000000001,1,true,true,true,true,true,9,"Licensed Physician",99349,"N/A",1236.1300000000001,1]
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[9,"Licensed Physician",99408,"N/A",568.62,1,true,true,true,true,true,9,"Licensed Physician",99408,"N/A",568.62,1]
[9,"Licensed Physician",99409,"N/A",1483.35,1,true,true,true,true,true,9,"Licensed Physician",99409,"N/A",1483.35,1]
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[9,"Licensed Physician",99416,"N/A",741.68,1,true,true,true,true,true,9,"Licensed Physician",99416,"N/A",741.68,1]
[9,"Licensed Physician",99417,"N/A",370.84,1,true,true,true,true,true,9,"Licensed Physician",99417,"N/A",370.84,1]
[9,"Licensed Physician",99418,"N/A",370.84,1,true,true,true,true,true,9,"Licensed Physician",99418,"N/A",370.84,1]
[9,"Licensed Physician",99424,"N/A",741.68,1,true,true,true,true,true,9,"Licensed Physician",99424,"N/A",741.68,1]
[9,"Licensed Physician",99425,"N/A",741.68,1,true,true,true,true,true,9,"Licensed Physician",99425,"N/A",741.68,1]
[9,"Licensed Physician",99437,"N/A",741.68,1,true,true,true,true,true,9,"Licensed Physician",99437,"N/A",741.68,1]
[9,"Licensed Physician",99441,"N/A",197.78,1,true,true,true,true,true,9,"Licensed Physician",99441,"N/A",197.78,1]
[9,"Licensed Physician",99442,"N/A",395.56,1,true,true,true,true,true,9,"Licensed Physician",99442,"N/A",395.56,1]
[9,"Licensed Physician",99443,"N/A",642.79,1,true,true,true,true,true,9,"Licensed Physician",99443,"N/A",642.79,1]
[9,"Licensed Physician",99451,"N/A",445.01,1,true,true,true,true,true,9,"Licensed Physician",99451,"N/A",445.01,1]
[9,"Licensed Physician",99491,"N/A",741.68,1,true,true,true,true,true,9,"Licensed Physician",99491,"N/A",741.68,1]
[9,"Licensed Physician",99495,"N/A",1335.02,1,true,true,true,true,true,9,"Licensed Physician",99495,"N/A",1335.02,1]
[9,"Licensed Physician",99496,"N/A",1854.19,1,true,true,true,true,true,9,"Licensed Physician",99496,"N/A",1854.19,1]
[9,"Licensed Physician","G0316","N/A",370.84,1,true,true,true,true,true,9,"Licensed Physician","G0316","N/A",370.84,1]
[9,"Licensed Physician","G0396","N/A",568.62,1,true,true,true,true,true,9,"Licensed Physician","G0396","N/A",568.62,1]
[9,"Licensed Physician","G0397","N/A",1483.35,1,true,true,true,true,true,9,"Licensed Physician","G0397","N/A",1483.35,1]
[9,"Licensed Physician","G0539","N/A",568.62,1,true,true,true,true,true,9,"Licensed Physician","G0539","N/A",568.62,1]
[9,"Licensed Physician","G0540","N/A",370.84,1,true,true,true,true,true,9,"Licensed Physician","G0540","N/A",370.84,1]
[9,"Licensed Physician","G0541","N/A",568.62,1,true,true,true,true,true,9,"Licensed Physician","G0541","N/A",568.62,1]
[9,"Licensed Physician","G0542","N/A",370.84,1,true,true,true,true,true,9,"Licensed Physician","G0542","N/A",370.84,1]
[9,"Licensed Physician","G0543","N/A",247.23,1,true,true,true,true,true,9,"Licensed Physician","G0543","N/A",247.23,1]
[9,"Licensed Physician","G2011","N/A",247.23,1,true,true,true,true,true,9,"Licensed Physician","G2011","N/A",247.23,1]
[9,"Licensed Physician","H0001","N/A",370.84,1,true,true,true,true,true,9,"Licensed Physician","H0001","N/A",370.84,1]
[9,"Licensed Physician","H0003","N/A",370.84,1,true,true,true,true,true,9,"Licensed Physician","H0003","N/A",370.84,1]
[9,"Licensed Physician","H0004","N/A",370.84,1,true,true,true,true,true,9,"Licensed Physician","H0004","N/A",370.84,1]
[9,"Licensed Physician","H0005","N/A",82.41,1,true,true,true,true,true,9,"Licensed Physician","H0005","N/A",82.41,1]
[9,"Licensed Physician","H0007","N/A",370.84,1,true,true,true,true,true,9,"Licensed Physician","H0007","N/A",370.84,1]
[9,"Licensed Physician","H0008","N/A",370.84,1,true,true,true,true,true,9,"Licensed Physician","H0008","N/A",370.84,1]
[9,"Licensed Physician","H0009","N/A",370.84,1,true,true,true,true,true,9,"Licensed Physician","H0009","N/A",370.84,1]
[9,"Licensed Physician","H0033","N/A",370.84,1,{"$f":"EXACT(A1667,L1667)","v":true},{"$f":"EXACT(B1667,M1667)","v":true},{"$f":"EXACT(C1667,N1667)","v":true},{"$f":"EXACT(D1667,O1667)","v":true},{"$f":"EXACT(E1667,P1667)","v":true},9,"Licensed Physician","H0033","N/A",370.84,1]
[9,"Licensed Physician","H0034","N/A",370.84,1,true,true,true,true,true,9,"Licensed Physician","H0034","N/A",370.84,1]
[9,"Licensed Physician","H0034","HQ",82.41,1,true,true,true,true,true,9,"Licensed Physician","H0034","HQ",82.41,1]
[9,"Licensed Physician","H0048","N/A",370.84,1,true,true,true,true,true,9,"Licensed Physician","H0048","N/A",370.84,1]
[9,"Licensed Physician","H0049","N/A",370.84,1,true,true,true,true,true,9,"Licensed Physician","H0049","N/A",370.84,1]
[9,"Licensed Physician","H0050","N/A",370.84,1,true,true,true,true,true,9,"Licensed Physician","H0050","N/A",370.84,1]
[9,"Licensed Physician","H1000","N/A",370.84,{"$f":"IF(C1673=\"G0323\",9,1)","v":1},true,true,true,true,true,9,"Licensed Physician","H1000","N/A",370.84,{"$f":"IF(OR(N1673=\"H0036\",N1673=\"G0323\"),9,1)","v":1}]
[9,"Licensed Physician","H2014","N/A",370.84,1,true,true,true,true,true,9,"Licensed Physician","H2014","N/A",370.84,1]
[9,"Licensed Physician","H2014","HQ",82.41,1,true,true,true,true,true,9,"Licensed Physician","H2014","HQ",82.41,1]
[9,"Licensed Physician","H2015","N/A",370.84,1,true,true,true,true,true,9,"Licensed Physician","H2015","N/A",370.84,1]
[9,"Licensed Physician","H2017","N/A",370.84,1,true,true,true,true,true,9,"Licensed Physician","H2017","N/A",370.84,1]
[9,"Licensed Physician","H2017","HQ",82.41,1,true,true,true,true,true,9,"Licensed Physician","H2017","HQ",82.41,1]
[9,"Licensed Physician","H2021","N/A",370.84,1,true,true,true,true,true,9,"Licensed Physician","H2021","N/A",370.84,1]
[9,"Licensed Physician","H2027","N/A",370.84,1,true,true,true,true,true,9,"Licensed Physician","H2027","N/A",370.84,1]
[9,"Licensed Physician","H2035","N/A",1483.35,1,true,true,true,true,true,9,"Licensed Physician","H2035","N/A",1483.35,1]
[9,"Licensed Physician","T1006","N/A",370.84,1,true,true,true,true,true,9,"Licensed Physician","T1006","N/A",370.84,1]
[9,"Licensed Physician","T1007","N/A",370.84,1,true,true,true,true,true,9,"Licensed Physician","T1007","N/A",370.84,1]
[9,"Licensed Physician","T1013","N/A",31.88,1,true,true,true,true,true,9,"Licensed Physician","T1013","N/A",31.88,1]
[9,"Licensed Physician","T1017","N/A",370.84,1,true,true,true,true,true,9,"Licensed Physician","T1017","N/A",370.84,1]
[9,"Licensed Physician","T2021","N/A",370.84,1,true,true,true,true,true,9,"Licensed Physician","T2021","N/A",370.84,1]
[9,"Licensed Physician","T2021","HQ",82.41,1,true,true,true,true,true,9,"Licensed Physician","T2021","HQ",82.41,1]
[9,"Licensed Physician","T2021",22,373.85,1,true,true,true,true,true,9,"Licensed Physician","T2021",22,373.85,1]
[9,"Licensed Physician","T2024","N/A",370.84,1,true,true,true,true,true,9,"Licensed Physician","T2024","N/A",370.84,1]
[9,"Licensed Psychiatric Technician",90785,"N/A",18.89,1,true,true,true,true,true,9,"Licensed Psychiatric Technician",90785,"N/A",18.89,1]
[9,"Licensed Psychiatric Technician",90882,"N/A",67.84,1,true,true,true,true,true,9,"Licensed Psychiatric Technician",90882,"N/A",67.84,1]
[9,"Licensed Psychiatric Technician",90889,"N/A",67.84,1,true,true,true,true,true,9,"Licensed Psychiatric Technician",90889,"N/A",67.84,1]
[9,"Licensed Psychiatric Technician",96160,"N/A",67.84,1,true,true,true,true,true,9,"Licensed Psychiatric Technician",96160,"N/A",67.84,1]
[9,"Licensed Psychiatric Technician",96170,"N/A",135.68,1,true,true,true,true,true,9,"Licensed Psychiatric Technician",96170,"N/A",135.68,1]
[9,"Licensed Psychiatric Technician",96171,"N/A",67.84,1,true,true,true,true,true,9,"Licensed Psychiatric Technician",96171,"N/A",67.84,1]
[9,"Licensed Psychiatric Technician",96202,"N/A",60.3,1,true,true,true,true,true,9,"Licensed Psychiatric Technician",96202,"N/A",60.3,1]
[9,"Licensed Psychiatric Technician",96203,"N/A",15.08,1,true,true,true,true,true,9,"Licensed Psychiatric Technician",96203,"N/A",15.08,1]
[9,"Licensed Psychiatric Technician",97550,"N/A",104.02,1,true,true,true,true,true,9,"Licensed Psychiatric Technician",97550,"N/A",104.02,1]
[9,"Licensed Psychiatric Technician",97551,"N/A",67.84,1,true,true,true,true,true,9,"Licensed Psychiatric Technician",97551,"N/A",67.84,1]
[9,"Licensed Psychiatric Technician",97552,"N/A",45.23,1,true,true,true,true,true,9,"Licensed Psychiatric Technician",97552,"N/A",45.23,1]
[9,"Licensed Psychiatric Technician","G0396","N/A",104.02,1,true,true,true,true,true,9,"Licensed Psychiatric Technician","G0396","N/A",104.02,1]
[9,"Licensed Psychiatric Technician","G0397","N/A",271.35000000000002,1,true,true,true,true,true,9,"Licensed Psychiatric Technician","G0397","N/A",271.35000000000002,1]
[9,"Licensed Psychiatric Technician","G0539","N/A",104.02,1,true,true,true,true,true,9,"Licensed Psychiatric Technician","G0539","N/A",104.02,1]
[9,"Licensed Psychiatric Technician","G0540","N/A",67.84,1,true,true,true,true,true,9,"Licensed Psychiatric Technician","G0540","N/A",67.84,1]
[9,"Licensed Psychiatric Technician","G0541","N/A",104.02,1,true,true,true,true,true,9,"Licensed Psychiatric Technician","G0541","N/A",104.02,1]
[9,"Licensed Psychiatric Technician","G0542","N/A",67.84,1,true,true,true,true,true,9,"Licensed Psychiatric Technician","G0542","N/A",67.84,1]
[9,"Licensed Psychiatric Technician","G0543","N/A",45.23,1,true,true,true,true,true,9,"Licensed Psychiatric Technician","G0543","N/A",45.23,1]
[9,"Licensed Psychiatric Technician","G2011","N/A",45.23,1,true,true,true,true,true,9,"Licensed Psychiatric Technician","G2011","N/A",45.23,1]
[9,"Licensed Psychiatric Technician","H0001","N/A",67.84,1,true,true,true,true,true,9,"Licensed Psychiatric Technician","H0001","N/A",67.84,1]
[9,"Licensed Psychiatric Technician","H0003","N/A",67.84,1,true,true,true,true,true,9,"Licensed Psychiatric Technician","H0003","N/A",67.84,1]
[9,"Licensed Psychiatric Technician","H0007","N/A",67.84,1,true,true,true,true,true,9,"Licensed Psychiatric Technician","H0007","N/A",67.84,1]
[9,"Licensed Psychiatric Technician","H0008","N/A",67.84,1,true,true,true,true,true,9,"Licensed Psychiatric Technician","H0008","N/A",67.84,1]
[9,"Licensed Psychiatric Technician","H0009","N/A",67.84,1,true,true,true,true,true,9,"Licensed Psychiatric Technician","H0009","N/A",67.84,1]
[9,"Licensed Psychiatric Technician","H0033","N/A",67.84,1,true,true,true,true,true,9,"Licensed Psychiatric Technician","H0033","N/A",67.84,1]
[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 Psychiatric Technician","H0034","HQ",15.08,1,true,true,true,true,true,9,"Licensed Psychiatric Technician","H0034","HQ",15.08,1]
[9,"Licensed Psychiatric Technician","H0048","N/A",67.84,1,true,true,true,true,true,9,"Licensed Psychiatric Technician","H0048","N/A",67.84,1]
[9,"Licensed Psychiatric Technician","H0049","N/A",67.84,1,true,true,true,true,true,9,"Licensed Psychiatric Technician","H0049","N/A",67.84,1]
[9,"Licensed Psychiatric Technician","H0050","N/A",67.84,1,true,true,true,true,true,9,"Licensed Psychiatric Technician","H0050","N/A",67.84,1]
[9,"Licensed Psychiatric Technician","H1000","N/A",67.84,1,true,true,true,true,true,9,"Licensed Psychiatric Technician","H1000","N/A",67.84,1]
[9,"Licensed Psychiatric Technician","H2014","N/A",67.84,1,true,true,true,true,true,9,"Licensed Psychiatric Technician","H2014","N/A",67.84,1]
[9,"Licensed Psychiatric Technician","H2014","HQ",15.08,1,true,true,true,true,true,9,"Licensed Psychiatric Technician","H2014","HQ",15.08,1]
[9,"Licensed Psychiatric Technician","H2015","N/A",67.84,1,true,true,true,true,true,9,"Licensed Psychiatric Technician","H2015","N/A",67.84,1]
[9,"Licensed Psychiatric Technician","H2017","N/A",67.84,1,true,true,true,true,true,9,"Licensed Psychiatric Technician","H2017","N/A",67.84,1]
[9,"Licensed Psychiatric Technician","H2017","HQ",15.08,1,true,true,true,true,true,9,"Licensed Psychiatric Technician","H2017","HQ",15.08,1]
[9,"Licensed Psychiatric Technician","H2021","N/A",67.84,1,true,true,true,true,true,9,"Licensed Psychiatric Technician","H2021","N/A",67.84,1]
[9,"Licensed Psychiatric Technician","H2027","N/A",67.84,1,true,true,true,true,true,9,"Licensed Psychiatric Technician","H2027","N/A",67.84,1]
[9,"Licensed Psychiatric Technician","H2035","N/A",271.35000000000002,1,true,true,true,true,true,9,"Licensed Psychiatric Technician","H2035","N/A",271.35000000000002,1]
[9,"Licensed Psychiatric Technician","T1007","N/A",67.84,1,true,true,true,true,true,9,"Licensed Psychiatric Technician","T1007","N/A",67.84,1]
[9,"Licensed Psychiatric Technician","T1013","N/A",31.88,1,true,true,true,true,true,9,"Licensed Psychiatric Technician","T1013","N/A",31.88,1]
[9,"Licensed Psychiatric Technician","T1017","N/A",67.84,1,{"$f":"EXACT(A1731,L1731)","v":true},{"$f":"EXACT(B1731,M1731)","v":true},{"$f":"EXACT(C1731,N1731)","v":true},{"$f":"EXACT(D1731,O1731)","v":true},{"$f":"EXACT(E1731,P1731)","v":true},9,"Licensed Psychiatric Technician","T1017","N/A",67.84,1]
[9,"Licensed Vocational Nurse",90785,"N/A",18.89,1,true,true,true,true,true,9,"Licensed Vocational Nurse",90785,"N/A",18.89,1]
[9,"Licensed Vocational Nurse",90882,"N/A",79.13,1,true,true,true,true,true,9,"Licensed Vocational Nurse",90882,"N/A",79.13,1]
[9,"Licensed Vocational Nurse",90889,"N/A",79.13,1,true,true,true,true,true,9,"Licensed Vocational Nurse",90889,"N/A",79.13,1]
[9,"Licensed Vocational Nurse",96160,"N/A",79.13,1,true,true,true,true,true,9,"Licensed Vocational Nurse",96160,"N/A",79.13,1]
[9,"Licensed Vocational Nurse",96170,"N/A",158.26,1,true,true,true,true,true,9,"Licensed Vocational Nurse",96170,"N/A",158.26,1]
[9,"Licensed Vocational Nurse",96171,"N/A",79.13,{"$f":"IF(C1737=\"G0323\",9,1)","v":1},true,true,true,true,true,9,"Licensed Vocational Nurse",96171,"N/A",79.13,{"$f":"IF(OR(N1737=\"H0036\",N1737=\"G0323\"),9,1)","v":1}]
[9,"Licensed Vocational Nurse",96202,"N/A",70.34,1,true,true,true,true,true,9,"Licensed Vocational Nurse",96202,"N/A",70.34,1]
[9,"Licensed Vocational Nurse",96203,"N/A",17.579999999999998,1,true,true,true,true,true,9,"Licensed Vocational Nurse",96203,"N/A",17.579999999999998,1]
[9,"Licensed Vocational Nurse",97550,"N/A",121.33,1,true,true,true,true,true,9,"Licensed Vocational Nurse",97550,"N/A",121.33,1]
[9,"Licensed Vocational Nurse",97551,"N/A",79.13,1,true,true,true,true,true,9,"Licensed Vocational Nurse",97551,"N/A",79.13,1]
[9,"Licensed Vocational Nurse",97552,"N/A",52.75,1,true,true,true,true,true,9,"Licensed Vocational Nurse",97552,"N/A",52.75,1]
[9,"Licensed Vocational Nurse","G0396","N/A",121.33,1,true,true,true,true,true,9,"Licensed Vocational Nurse","G0396","N/A",121.33,1]
[9,"Licensed Vocational Nurse","G0397","N/A",316.52,1,true,true,true,true,true,9,"Licensed Vocational Nurse","G0397","N/A",316.52,1]
[9,"Licensed Vocational Nurse","G0539","N/A",121.33,1,true,true,true,true,true,9,"Licensed Vocational Nurse","G0539","N/A",121.33,1]
[9,"Licensed Vocational Nurse","G0540","N/A",79.13,1,true,true,true,true,true,9,"Licensed Vocational Nurse","G0540","N/A",79.13,1]
[9,"Licensed Vocational Nurse","G0541","N/A",121.33,1,true,true,true,true,true,9,"Licensed Vocational Nurse","G0541","N/A",121.33,1]
[9,"Licensed Vocational Nurse","G0542","N/A",79.13,1,true,true,true,true,true,9,"Licensed Vocational Nurse","G0542","N/A",79.13,1]
[9,"Licensed Vocational Nurse","G0543","N/A",52.75,1,true,true,true,true,true,9,"Licensed Vocational Nurse","G0543","N/A",52.75,1]
[9,"Licensed Vocational Nurse","G2011","N/A",52.75,1,true,true,true,true,true,9,"Licensed Vocational Nurse","G2011","N/A",52.75,1]
[9,"Licensed Vocational Nurse","H0001","N/A",79.13,1,true,true,true,true,true,9,"Licensed Vocational Nurse","H0001","N/A",79.13,1]
[9,"Licensed Vocational Nurse","H0003","N/A",79.13,1,true,true,true,true,true,9,"Licensed Vocational Nurse","H0003","N/A",79.13,1]
[9,"Licensed Vocational Nurse","H0007","N/A",79.13,1,true,true,true,true,true,9,"Licensed Vocational Nurse","H0007","N/A",79.13,1]
[9,"Licensed Vocational Nurse","H0008","N/A",79.13,1,true,true,true,true,true,9,"Licensed Vocational Nurse","H0008","N/A",79.13,1]
[9,"Licensed Vocational Nurse","H0009","N/A",79.13,1,true,true,true,true,true,9,"Licensed Vocational Nurse","H0009","N/A",79.13,1]
[9,"Licensed Vocational Nurse","H0033","N/A",79.13,1,true,true,true,true,true,9,"Licensed Vocational Nurse","H0033","N/A",79.13,1]
[9,"Licensed Vocational Nurse","H0034","N/A",79.13,1,true,true,true,true,true,9,"Licensed Vocational Nurse","H0034","N/A",79.13,1]
[9,"Licensed Vocational Nurse","H0034","HQ",17.579999999999998,1,true,true,true,true,true,9,"Licensed Vocational Nurse","H0034","HQ",17.579999999999998,1]
[9,"Licensed Vocational Nurse","H0048","N/A",79.13,1,true,true,true,true,true,9,"Licensed Vocational Nurse","H0048","N/A",79.13,1]
[9,"Licensed Vocational Nurse","H0049","N/A",79.13,1,true,true,true,true,true,9,"Licensed Vocational Nurse","H0049","N/A",79.13,1]
[9,"Licensed Vocational Nurse","H0050","N/A",79.13,1,true,true,true,true,true,9,"Licensed Vocational Nurse","H0050","N/A",79.13,1]
[9,"Licensed Vocational Nurse","H1000","N/A",79.13,1,true,true,true,true,true,9,"Licensed Vocational Nurse","H1000","N/A",79.13,1]
[9,"Licensed Vocational Nurse","H2014","N/A",79.13,1,true,true,true,true,true,9,"Licensed Vocational Nurse","H2014","N/A",79.13,1]
[9,"Licensed Vocational Nurse","H2014","HQ",17.579999999999998,1,true,true,true,true,true,9,"Licensed Vocational Nurse","H2014","HQ",17.579999999999998,1]
[9,"Licensed Vocational Nurse","H2015","N/A",79.13,1,true,true,true,true,true,9,"Licensed Vocational Nurse","H2015","N/A",79.13,1]
[9,"Licensed Vocational Nurse","H2017","N/A",79.13,1,true,true,true,true,true,9,"Licensed Vocational Nurse","H2017","N/A",79.13,1]
[9,"Licensed Vocational Nurse","H2017","HQ",17.579999999999998,1,true,true,true,true,true,9,"Licensed Vocational Nurse","H2017","HQ",17.579999999999998,1]
[9,"Licensed Vocational Nurse","H2021","N/A",79.13,1,true,true,true,true,true,9,"Licensed Vocational Nurse","H2021","N/A",79.13,1]
[9,"Licensed Vocational Nurse","H2027","N/A",79.13,1,true,true,true,true,true,9,"Licensed Vocational Nurse","H2027","N/A",79.13,1]
[9,"Licensed Vocational Nurse","H2035","N/A",316.52,1,true,true,true,true,true,9,"Licensed Vocational Nurse","H2035","N/A",316.52,1]
[9,"Licensed Vocational Nurse","T1007","N/A",79.13,1,true,true,true,true,true,9,"Licensed Vocational Nurse","T1007","N/A",79.13,1]
[9,"Licensed Vocational Nurse","T1013","N/A",31.88,1,true,true,true,true,true,9,"Licensed Vocational Nurse","T1013","N/A",31.88,1]
[9,"Licensed Vocational Nurse","T1017","N/A",79.13,1,true,true,true,true,true,9,"Licensed Vocational Nurse","T1017","N/A",79.13,1]
[9,"Medical Assistant",90785,"N/A",18.32,1,true,true,true,true,true,9,"Medical Assistant",90785,"N/A",18.32,1]
[9,"Medical Assistant",90882,"N/A",54.4,1,true,true,true,true,true,9,"Medical Assistant",90882,"N/A",54.4,1]
[9,"Medical Assistant",96160,"N/A",54.4,1,true,true,true,true,true,9,"Medical Assistant",96160,"N/A",54.4,1]
[9,"Medical Assistant",96170,"N/A",108.79,1,true,true,true,true,true,9,"Medical Assistant",96170,"N/A",108.79,1]
[9,"Medical Assistant",96171,"N/A",54.4,1,true,true,true,true,true,9,"Medical Assistant",96171,"N/A",54.4,1]
[9,"Medical Assistant",99368,"N/A",217.58,1,true,true,true,true,true,9,"Medical Assistant",99368,"N/A",217.58,1]
[9,"Medical Assistant","H0001","N/A",54.4,1,true,true,true,true,true,9,"Medical Assistant","H0001","N/A",54.4,1]
[9,"Medical Assistant","H0003","N/A",54.4,1,true,true,true,true,true,9,"Medical Assistant","H0003","N/A",54.4,1]
[9,"Medical Assistant","H0033","N/A",54.4,1,true,true,true,true,true,9,"Medical Assistant","H0033","N/A",54.4,1]
[9,"Medical Assistant","H0034","N/A",54.4,1,true,true,true,true,true,9,"Medical Assistant","H0034","N/A",54.4,1]
[9,"Medical Assistant","H0034","HQ",12.09,1,true,true,true,true,true,9,"Medical Assistant","H0034","HQ",12.09,1]
[9,"Medical Assistant","H0048","N/A",54.4,1,true,true,true,true,true,9,"Medical Assistant","H0048","N/A",54.4,1]
[9,"Medical Assistant","H0049","N/A",54.4,1,true,true,true,true,true,9,"Medical Assistant","H0049","N/A",54.4,1]
[9,"Medical Assistant","H2014","N/A",54.4,1,true,true,true,true,true,9,"Medical Assistant","H2014","N/A",54.4,1]
[9,"Medical Assistant","H2014","HQ",12.09,1,true,true,true,true,true,9,"Medical Assistant","H2014","HQ",12.09,1]
[9,"Medical Assistant","H2017","N/A",54.4,1,true,true,true,true,true,9,"Medical Assistant","H2017","N/A",54.4,1]
[9,"Medical Assistant","H2017","HQ",12.09,1,true,true,true,true,true,9,"Medical Assistant","H2017","HQ",12.09,1]
[9,"Medical Assistant","H2021","N/A",54.4,1,true,true,true,true,true,9,"Medical Assistant","H2021","N/A",54.4,1]
[9,"Medical Assistant","H2027","N/A",54.4,1,true,true,true,true,true,9,"Medical Assistant","H2027","N/A",54.4,1]
[9,"Medical Assistant","T1013","N/A",31.88,1,true,true,true,true,true,9,"Medical Assistant","T1013","N/A",31.88,1]
[9,"Medical Assistant","T1017","N/A",54.4,1,true,true,true,true,true,9,"Medical Assistant","T1017","N/A",54.4,1]
[9,"Medical Assistant","T2024","N/A",54.4,1,{"$f":"EXACT(A1795,L1795)","v":true},{"$f":"EXACT(B1795,M1795)","v":true},{"$f":"EXACT(C1795,N1795)","v":true},{"$f":"EXACT(D1795,O1795)","v":true},{"$f":"EXACT(E1795,P1795)","v":true},9,"Medical Assistant","T2024","N/A",54.4,1]
[9,"MFT/LPCC (Licensed, Waivered or Registered)",90785,"N/A",18.89,1,true,true,true,true,true,9,"MFT/LPCC (Licensed, Waivered or Registered)",90785,"N/A",18.89,1]
[9,"MFT/LPCC (Licensed, Waivered or Registered)",90791,"N/A",386.05,1,true,true,true,true,true,9,"MFT/LPCC (Licensed, Waivered or Registered)",90791,"N/A",386.05,1]
[9,"MFT/LPCC (Licensed, Waivered or Registered)",90846,"N/A",321.70999999999998,1,true,true,true,true,true,9,"MFT/LPCC (Licensed, Waivered or Registered)",90846,"N/A",321.70999999999998,1]
[9,"MFT/LPCC (Licensed, Waivered or Registered)",90847,"N/A",321.70999999999998,1,true,true,true,true,true,9,"MFT/LPCC (Licensed, Waivered or Registered)",90847,"N/A",321.70999999999998,1]
[9,"MFT/LPCC (Licensed, Waivered or Registered)",90849,"N/A",120.1,1,true,true,true,true,true,9,"MFT/LPCC (Licensed, Waivered or Registered)",90849,"N/A",120.1,1]
[9,"MFT/LPCC (Licensed, Waivered or Registered)",90882,"N/A",96.51,{"$f":"IF(C1801=\"G0323\",9,1)","v":1},true,true,true,true,true,9,"MFT/LPCC (Licensed, Waivered or Registered)",90882,"N/A",96.51,{"$f":"IF(OR(N1801=\"H0036\",N1801=\"G0323\"),9,1)","v":1}]
[9,"MFT/LPCC (Licensed, Waivered or Registered)",90885,"N/A",386.05,1,true,true,true,true,true,9,"MFT/LPCC (Licensed, Waivered or Registered)",90885,"N/A",386.05,1]
[9,"MFT/LPCC (Licensed, Waivered or Registered)",90887,"N/A",321.70999999999998,1,true,true,true,true,true,9,"MFT/LPCC (Licensed, Waivered or Registered)",90887,"N/A",321.70999999999998,1]
[9,"MFT/LPCC (Licensed, Waivered or Registered)",90889,"N/A",96.51,1,true,true,true,true,true,9,"MFT/LPCC (Licensed, Waivered or Registered)",90889,"N/A",96.51,1]
[9,"MFT/LPCC (Licensed, Waivered or Registered)",96160,"N/A",96.51,1,true,true,true,true,true,9,"MFT/LPCC (Licensed, Waivered or Registered)",96160,"N/A",96.51,1]
[9,"MFT/LPCC (Licensed, Waivered or Registered)",96170,"N/A",193.03,1,true,true,true,true,true,9,"MFT/LPCC (Licensed, Waivered or Registered)",96170,"N/A",193.03,1]
[9,"MFT/LPCC (Licensed, Waivered or Registered)",96171,"N/A",96.51,1,true,true,true,true,true,9,"MFT/LPCC (Licensed, Waivered or Registered)",96171,"N/A",96.51,1]
[9,"MFT/LPCC (Licensed, Waivered or Registered)",96202,"N/A",85.79,1,true,true,true,true,true,9,"MFT/LPCC (Licensed, Waivered or Registered)",96202,"N/A",85.79,1]
[9,"MFT/LPCC (Licensed, Waivered or Registered)",96203,"N/A",21.45,1,true,true,true,true,true,9,"MFT/LPCC (Licensed, Waivered or Registered)",96203,"N/A",21.45,1]
[9,"MFT/LPCC (Licensed, Waivered or Registered)",97550,"N/A",147.99,1,true,true,true,true,true,9,"MFT/LPCC (Licensed, Waivered or Registered)",97550,"N/A",147.99,1]
[9,"MFT/LPCC (Licensed, Waivered or Registered)",97551,"N/A",96.51,1,true,true,true,true,true,9,"MFT/LPCC (Licensed, Waivered or Registered)",97551,"N/A",96.51,1]
[9,"MFT/LPCC (Licensed, Waivered or Registered)",97552,"N/A",64.34,1,true,true,true,true,true,9,"MFT/LPCC (Licensed, Waivered or Registered)",97552,"N/A",64.34,1]
[9,"MFT/LPCC (Licensed, Waivered or Registered)",98966,"N/A",51.47,1,true,true,true,true,true,9,"MFT/LPCC (Licensed, Waivered or Registered)",98966,"N/A",51.47,1]
[9,"MFT/LPCC (Licensed, Waivered or Registered)",98967,"N/A",102.95,1,true,true,true,true,true,9,"MFT/LPCC (Licensed, Waivered or Registered)",98967,"N/A",102.95,1]
[9,"MFT/LPCC (Licensed, Waivered or Registered)",98968,"N/A",167.29,1,true,true,true,true,true,9,"MFT/LPCC (Licensed, Waivered or Registered)",98968,"N/A",167.29,1]
[9,"MFT/LPCC (Licensed, Waivered or Registered)",99368,"N/A",386.05,1,true,true,true,true,true,9,"MFT/LPCC (Licensed, Waivered or Registered)",99368,"N/A",386.05,1]
[9,"MFT/LPCC (Licensed, Waivered or Registered)","G0396","N/A",147.99,1,true,true,true,true,true,9,"MFT/LPCC (Licensed, Waivered or Registered)","G0396","N/A",147.99,1]
[9,"MFT/LPCC (Licensed, Waivered or Registered)","G0397","N/A",386.05,1,true,true,true,true,true,9,"MFT/LPCC (Licensed, Waivered or Registered)","G0397","N/A",386.05,1]
[9,"MFT/LPCC (Licensed, Waivered or Registered)","G0539","N/A",147.99,1,true,true,true,true,true,9,"MFT/LPCC (Licensed, Waivered or Registered)","G0539","N/A",147.99,1]
[9,"MFT/LPCC (Licensed, Waivered or Registered)","G0540","N/A",96.51,1,true,true,true,true,true,9,"MFT/LPCC (Licensed, Waivered or Registered)","G0540","N/A",96.51,1]
[9,"MFT/LPCC (Licensed, Waivered or Registered)","G0541","N/A",147.99,1,true,true,true,true,true,9,"MFT/LPCC (Licensed, Waivered or Registered)","G0541","N/A",147.99,1]
[9,"MFT/LPCC (Licensed, Waivered or Registered)","G0542","N/A",96.51,1,true,true,true,true,true,9,"MFT/LPCC (Licensed, Waivered or Registered)","G0542","N/A",96.51,1]
[9,"MFT/LPCC (Licensed, Waivered or Registered)","G0543","N/A",64.34,1,true,true,true,true,true,9,"MFT/LPCC (Licensed, Waivered or Registered)","G0543","N/A",64.34,1]
[9,"MFT/LPCC (Licensed, Waivered or Registered)","G2011","N/A",64.34,1,true,true,true,true,true,9,"MFT/LPCC (Licensed, Waivered or Registered)","G2011","N/A",64.34,1]
[9,"MFT/LPCC (Licensed, Waivered or Registered)","H0001","N/A",96.51,1,true,true,true,true,true,9,"MFT/LPCC (Licensed, Waivered or Registered)","H0001","N/A",96.51,1]
[9,"MFT/LPCC (Licensed, Waivered or Registered)","H0004","N/A",96.51,1,true,true,true,true,true,9,"MFT/LPCC (Licensed, Waivered or Registered)","H0004","N/A",96.51,1]
[9,"MFT/LPCC (Licensed, Waivered or Registered)","H0005","N/A",21.45,1,true,true,true,true,true,9,"MFT/LPCC (Licensed, Waivered or Registered)","H0005","N/A",21.45,1]
[9,"MFT/LPCC (Licensed, Waivered or Registered)","H0007","N/A",96.51,1,true,true,true,true,true,9,"MFT/LPCC (Licensed, Waivered or Registered)","H0007","N/A",96.51,1]
[9,"MFT/LPCC (Licensed, Waivered or Registered)","H0049","N/A",96.51,1,true,true,true,true,true,9,"MFT/LPCC (Licensed, Waivered or Registered)","H0049","N/A",96.51,1]
[9,"MFT/LPCC (Licensed, Waivered or Registered)","H0050","N/A",96.51,1,true,true,true,true,true,9,"MFT/LPCC (Licensed, Waivered or Registered)","H0050","N/A",96.51,1]
[9,"MFT/LPCC (Licensed, Waivered or Registered)","H1000","N/A",96.51,1,true,true,true,true,true,9,"MFT/LPCC (Licensed, Waivered or Registered)","H1000","N/A",96.51,1]
[9,"MFT/LPCC (Licensed, Waivered or Registered)","H2014","N/A",96.51,1,true,true,true,true,true,9,"MFT/LPCC (Licensed, Waivered or Registered)","H2014","N/A",96.51,1]
[9,"MFT/LPCC (Licensed, Waivered or Registered)","H2014","HQ",21.45,1,true,true,true,true,true,9,"MFT/LPCC (Licensed, Waivered or Registered)","H2014","HQ",21.45,1]
[9,"MFT/LPCC (Licensed, Waivered or Registered)","H2015","N/A",96.51,1,true,true,true,true,true,9,"MFT/LPCC (Licensed, Waivered or Registered)","H2015","N/A",96.51,1]
[9,"MFT/LPCC (Licensed, Waivered or Registered)","H2017","N/A",96.51,1,true,true,true,true,true,9,"MFT/LPCC (Licensed, Waivered or Registered)","H2017","N/A",96.51,1]
[9,"MFT/LPCC (Licensed, Waivered or Registered)","H2017","HQ",21.45,1,true,true,true,true,true,9,"MFT/LPCC (Licensed, Waivered or Registered)","H2017","HQ",21.45,1]
[9,"MFT/LPCC (Licensed, Waivered or Registered)","H2021","N/A",96.51,1,true,true,true,true,true,9,"MFT/LPCC (Licensed, Waivered or Registered)","H2021","N/A",96.51,1]
[9,"MFT/LPCC (Licensed, Waivered or Registered)","H2027","N/A",96.51,1,true,true,true,true,true,9,"MFT/LPCC (Licensed, Waivered or Registered)","H2027","N/A",96.51,1]
[9,"MFT/LPCC (Licensed, Waivered or Registered)","H2035","N/A",386.05,1,true,true,true,true,true,9,"MFT/LPCC (Licensed, Waivered or Registered)","H2035","N/A",386.05,1]
[9,"MFT/LPCC (Licensed, Waivered or Registered)","T1006","N/A",96.51,1,true,true,true,true,true,9,"MFT/LPCC (Licensed, Waivered or Registered)","T1006","N/A",96.51,1]
[9,"MFT/LPCC (Licensed, Waivered or Registered)","T1007","N/A",96.51,1,true,true,true,true,true,9,"MFT/LPCC (Licensed, Waivered or Registered)","T1007","N/A",96.51,1]
[9,"MFT/LPCC (Licensed, Waivered or Registered)","T1013","N/A",31.88,1,true,true,true,true,true,9,"MFT/LPCC (Licensed, Waivered or Registered)","T1013","N/A",31.88,1]
[9,"MFT/LPCC (Licensed, Waivered or Registered)","T1017","N/A",96.51,1,true,true,true,true,true,9,"MFT/LPCC (Licensed, Waivered or Registered)","T1017","N/A",96.51,1]
[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,"MFT/LPCC (Licensed, Waivered or Registered)","T2021","HQ",21.45,1,true,true,true,true,true,9,"MFT/LPCC (Licensed, Waivered or Registered)","T2021","HQ",21.45,1]
[9,"MFT/LPCC (Licensed, Waivered or Registered)","T2021",22,99.52,1,true,true,true,true,true,9,"MFT/LPCC (Licensed, Waivered or Registered)","T2021",22,99.52,1]
[9,"MFT/LPCC (Licensed, Waivered or Registered)","T2024","N/A",96.51,1,true,true,true,true,true,9,"MFT/LPCC (Licensed, Waivered or Registered)","T2024","N/A",96.51,1]
[9,"Nurse Practitioner",90785,"N/A",18.89,1,true,true,true,true,true,9,"Nurse Practitioner",90785,"N/A",18.89,1]
[9,"Nurse Practitioner",90791,"N/A",737.63,1,true,true,true,true,true,9,"Nurse Practitioner",90791,"N/A",737.63,1]
[9,"Nurse Practitioner",90792,"N/A",737.63,1,true,true,true,true,true,9,"Nurse Practitioner",90792,"N/A",737.63,1]
[9,"Nurse Practitioner",90846,"N/A",614.69000000000005,1,true,true,true,true,true,9,"Nurse Practitioner",90846,"N/A",614.69000000000005,1]
[9,"Nurse Practitioner",90847,"N/A",614.69000000000005,1,true,true,true,true,true,9,"Nurse Practitioner",90847,"N/A",614.69000000000005,1]
[9,"Nurse Practitioner",90849,"N/A",229.48,1,true,true,true,true,true,9,"Nurse Practitioner",90849,"N/A",229.48,1]
[9,"Nurse Practitioner",90865,"N/A",1106.45,1,true,true,true,true,true,9,"Nurse Practitioner",90865,"N/A",1106.45,1]
[9,"Nurse Practitioner",90882,"N/A",184.41,1,true,true,true,true,true,9,"Nurse Practitioner",90882,"N/A",184.41,1]
[9,"Nurse Practitioner",90885,"N/A",737.63,1,true,true,true,true,true,9,"Nurse Practitioner",90885,"N/A",737.63,1]
[9,"Nurse Practitioner",90887,"N/A",614.69000000000005,1,true,true,true,true,true,9,"Nurse Practitioner",90887,"N/A",614.69000000000005,1]
[9,"Nurse Practitioner",90889,"N/A",184.41,1,true,true,true,true,true,9,"Nurse Practitioner",90889,"N/A",184.41,1]
[9,"Nurse Practitioner",96130,"N/A",737.63,1,{"$f":"EXACT(A1859,L1859)","v":true},{"$f":"EXACT(B1859,M1859)","v":true},{"$f":"EXACT(C1859,N1859)","v":true},{"$f":"EXACT(D1859,O1859)","v":true},{"$f":"EXACT(E1859,P1859)","v":true},9,"Nurse Practitioner",96130,"N/A",737.63,1]
[9,"Nurse Practitioner",96131,"N/A",737.63,1,true,true,true,true,true,9,"Nurse Practitioner",96131,"N/A",737.63,1]
[9,"Nurse Practitioner",96160,"N/A",184.41,1,true,true,true,true,true,9,"Nurse Practitioner",96160,"N/A",184.41,1]
[9,"Nurse Practitioner",96170,"N/A",368.82,1,true,true,true,true,true,9,"Nurse Practitioner",96170,"N/A",368.82,1]
[9,"Nurse Practitioner",96171,"N/A",184.41,1,true,true,true,true,true,9,"Nurse Practitioner",96171,"N/A",184.41,1]
[9,"Nurse Practitioner",96202,"N/A",163.92,1,true,true,true,true,true,9,"Nurse Practitioner",96202,"N/A",163.92,1]
[9,"Nurse Practitioner",96203,"N/A",40.98,{"$f":"IF(C1865=\"G0323\",9,1)","v":1},true,true,true,true,true,9,"Nurse Practitioner",96203,"N/A",40.98,{"$f":"IF(OR(N1865=\"H0036\",N1865=\"G0323\"),9,1)","v":1}]
[9,"Nurse Practitioner",97550,"N/A",282.76,1,true,true,true,true,true,9,"Nurse Practitioner",97550,"N/A",282.76,1]
[9,"Nurse Practitioner",97551,"N/A",184.41,1,true,true,true,true,true,9,"Nurse Practitioner",97551,"N/A",184.41,1]
[9,"Nurse Practitioner",97552,"N/A",122.94,1,true,true,true,true,true,9,"Nurse Practitioner",97552,"N/A",122.94,1]
[9,"Nurse Practitioner",98966,"N/A",98.35,1,true,true,true,true,true,9,"Nurse Practitioner",98966,"N/A",98.35,1]
[9,"Nurse Practitioner",98967,"N/A",196.7,1,true,true,true,true,true,9,"Nurse Practitioner",98967,"N/A",196.7,1]
[9,"Nurse Practitioner",98968,"N/A",319.64,1,true,true,true,true,true,9,"Nurse Practitioner",98968,"N/A",319.64,1]
[9,"Nurse Practitioner",99202,"N/A",270.45999999999998,1,true,true,true,true,true,9,"Nurse Practitioner",99202,"N/A",270.45999999999998,1]
[9,"Nurse Practitioner",99203,"N/A",454.87,1,true,true,true,true,true,9,"Nurse Practitioner",99203,"N/A",454.87,1]
[9,"Nurse Practitioner",99204,"N/A",639.28,1,true,true,true,true,true,9,"Nurse Practitioner",99204,"N/A",639.28,1]
[9,"Nurse Practitioner",99205,"N/A",823.69,1,true,true,true,true,true,9,"Nurse Practitioner",99205,"N/A",823.69,1]
[9,"Nurse Practitioner",99212,"N/A",184.41,1,true,true,true,true,true,9,"Nurse Practitioner",99212,"N/A",184.41,1]
[9,"Nurse Practitioner",99213,"N/A",307.35000000000002,1,true,true,true,true,true,9,"Nurse Practitioner",99213,"N/A",307.35000000000002,1]
[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",99215,"N/A",577.80999999999995,1,true,true,true,true,true,9,"Nurse Practitioner",99215,"N/A",577.80999999999995,1]
[9,"Nurse Practitioner",99234,"N/A",700.75,1,true,true,true,true,true,9,"Nurse Practitioner",99234,"N/A",700.75,1]
[9,"Nurse Practitioner",99235,"N/A",946.63,1,true,true,true,true,true,9,"Nurse Practitioner",99235,"N/A",946.63,1]
[9,"Nurse Practitioner",99236,"N/A",1131.03,1,true,true,true,true,true,9,"Nurse Practitioner",99236,"N/A",1131.03,1]
[9,"Nurse Practitioner",99238,"N/A",368.82,1,true,true,true,true,true,9,"Nurse Practitioner",99238,"N/A",368.82,1]
[9,"Nurse Practitioner",99239,"N/A",737.63,1,true,true,true,true,true,9,"Nurse Practitioner",99239,"N/A",737.63,1]
[9,"Nurse Practitioner",99304,"N/A",368.82,1,true,true,true,true,true,9,"Nurse Practitioner",99304,"N/A",368.82,1]
[9,"Nurse Practitioner",99305,"N/A",516.34,1,true,true,true,true,true,9,"Nurse Practitioner",99305,"N/A",516.34,1]
[9,"Nurse Practitioner",99306,"N/A",700.75,1,true,true,true,true,true,9,"Nurse Practitioner",99306,"N/A",700.75,1]
[9,"Nurse Practitioner",99307,"N/A",184.41,1,true,true,true,true,true,9,"Nurse Practitioner",99307,"N/A",184.41,1]
[9,"Nurse Practitioner",99308,"N/A",307.35000000000002,1,true,true,true,true,true,9,"Nurse Practitioner",99308,"N/A",307.35000000000002,1]
[9,"Nurse Practitioner",99309,"N/A",454.87,1,true,true,true,true,true,9,"Nurse Practitioner",99309,"N/A",454.87,1]
[9,"Nurse Practitioner",99310,"N/A",639.28,1,true,true,true,true,true,9,"Nurse Practitioner",99310,"N/A",639.28,1]
[9,"Nurse Practitioner",99341,"N/A",270.45999999999998,1,true,true,true,true,true,9,"Nurse Practitioner",99341,"N/A",270.45999999999998,1]
[9,"Nurse Practitioner",99342,"N/A",553.22,1,true,true,true,true,true,9,"Nurse Practitioner",99342,"N/A",553.22,1]
[9,"Nurse Practitioner",99344,"N/A",823.69,1,true,true,true,true,true,9,"Nurse Practitioner",99344,"N/A",823.69,1]
[9,"Nurse Practitioner",99345,"N/A",1008.09,1,true,true,true,true,true,9,"Nurse Practitioner",99345,"N/A",1008.09,1]
[9,"Nurse Practitioner",99347,"N/A",307.35000000000002,1,true,true,true,true,true,9,"Nurse Practitioner",99347,"N/A",307.35000000000002,1]
[9,"Nurse Practitioner",99348,"N/A",430.28,1,true,true,true,true,true,9,"Nurse Practitioner",99348,"N/A",430.28,1]
[9,"Nurse Practitioner",99349,"N/A",614.69000000000005,1,true,true,true,true,true,9,"Nurse Practitioner",99349,"N/A",614.69000000000005,1]
[9,"Nurse Practitioner",99350,"N/A",823.69,1,true,true,true,true,true,9,"Nurse Practitioner",99350,"N/A",823.69,1]
[9,"Nurse Practitioner",99368,"N/A",737.63,1,true,true,true,true,true,9,"Nurse Practitioner",99368,"N/A",737.63,1]
[9,"Nurse Practitioner",99408,"N/A",282.76,1,true,true,true,true,true,9,"Nurse Practitioner",99408,"N/A",282.76,1]
[9,"Nurse Practitioner",99409,"N/A",737.63,1,true,true,true,true,true,9,"Nurse Practitioner",99409,"N/A",737.63,1]
[9,"Nurse Practitioner",99415,"N/A",737.63,1,true,true,true,true,true,9,"Nurse Practitioner",99415,"N/A",737.63,1]
[9,"Nurse Practitioner",99416,"N/A",368.82,1,true,true,true,true,true,9,"Nurse Practitioner",99416,"N/A",368.82,1]
[9,"Nurse Practitioner",99417,"N/A",184.41,1,true,true,true,true,true,9,"Nurse Practitioner",99417,"N/A",184.41,1]
[9,"Nurse Practitioner",99418,"N/A",184.41,1,true,true,true,true,true,9,"Nurse Practitioner",99418,"N/A",184.41,1]
[9,"Nurse Practitioner",99424,"N/A",368.82,1,true,true,true,true,true,9,"Nurse Practitioner",99424,"N/A",368.82,1]
[9,"Nurse Practitioner",99425,"N/A",368.82,1,true,true,true,true,true,9,"Nurse Practitioner",99425,"N/A",368.82,1]
[9,"Nurse Practitioner",99437,"N/A",368.82,1,true,true,true,true,true,9,"Nurse Practitioner",99437,"N/A",368.82,1]
[9,"Nurse Practitioner",99441,"N/A",98.35,1,true,true,true,true,true,9,"Nurse Practitioner",99441,"N/A",98.35,1]
[9,"Nurse Practitioner",99442,"N/A",196.7,1,true,true,true,true,true,9,"Nurse Practitioner",99442,"N/A",196.7,1]
[9,"Nurse Practitioner",99443,"N/A",319.64,1,true,true,true,true,true,9,"Nurse Practitioner",99443,"N/A",319.64,1]
[9,"Nurse Practitioner",99491,"N/A",368.82,1,true,true,true,true,true,9,"Nurse Practitioner",99491,"N/A",368.82,1]
[9,"Nurse Practitioner",99495,"N/A",663.87,1,true,true,true,true,true,9,"Nurse Practitioner",99495,"N/A",663.87,1]
[9,"Nurse Practitioner",99496,"N/A",922.04,1,true,true,true,true,true,9,"Nurse Practitioner",99496,"N/A",922.04,1]
[9,"Nurse Practitioner","G0316","N/A",184.41,1,true,true,true,true,true,9,"Nurse Practitioner","G0316","N/A",184.41,1]
[9,"Nurse Practitioner","G0396","N/A",282.76,1,true,true,true,true,true,9,"Nurse Practitioner","G0396","N/A",282.76,1]
[9,"Nurse Practitioner","G0397","N/A",737.63,1,true,true,true,true,true,9,"Nurse Practitioner","G0397","N/A",737.63,1]
[9,"Nurse Practitioner","G0539","N/A",282.76,1,true,true,true,true,true,9,"Nurse Practitioner","G0539","N/A",282.76,1]
[9,"Nurse Practitioner","G0540","N/A",184.41,1,true,true,true,true,true,9,"Nurse Practitioner","G0540","N/A",184.41,1]
[9,"Nurse Practitioner","G0541","N/A",282.76,1,true,true,true,true,true,9,"Nurse Practitioner","G0541","N/A",282.76,1]
[9,"Nurse Practitioner","G0542","N/A",184.41,1,true,true,true,true,true,9,"Nurse Practitioner","G0542","N/A",184.41,1]
[9,"Nurse Practitioner","G0543","N/A",122.94,1,{"$f":"EXACT(A1923,L1923)","v":true},{"$f":"EXACT(B1923,M1923)","v":true},{"$f":"EXACT(C1923,N1923)","v":true},{"$f":"EXACT(D1923,O1923)","v":true},{"$f":"EXACT(E1923,P1923)","v":true},9,"Nurse Practitioner","G0543","N/A",122.94,1]
[9,"Nurse Practitioner","G2011","N/A",122.94,1,true,true,true,true,true,9,"Nurse Practitioner","G2011","N/A",122.94,1]
[9,"Nurse Practitioner","H0001","N/A",184.41,1,true,true,true,true,true,9,"Nurse Practitioner","H0001","N/A",184.41,1]
[9,"Nurse Practitioner","H0003","N/A",184.41,1,true,true,true,true,true,9,"Nurse Practitioner","H0003","N/A",184.41,1]
[9,"Nurse Practitioner","H0004","N/A",184.41,1,true,true,true,true,true,9,"Nurse Practitioner","H0004","N/A",184.41,1]
[9,"Nurse Practitioner","H0005","N/A",40.98,1,true,true,true,true,true,9,"Nurse Practitioner","H0005","N/A",40.98,1]
[9,"Nurse Practitioner","H0007","N/A",184.41,{"$f":"IF(C1929=\"G0323\",9,1)","v":1},true,true,true,true,true,9,"Nurse Practitioner","H0007","N/A",184.41,{"$f":"IF(OR(N1929=\"H0036\",N1929=\"G0323\"),9,1)","v":1}]
[9,"Nurse Practitioner","H0008","N/A",184.41,1,true,true,true,true,true,9,"Nurse Practitioner","H0008","N/A",184.41,1]
[9,"Nurse Practitioner","H0009","N/A",184.41,1,true,true,true,true,true,9,"Nurse Practitioner","H0009","N/A",184.41,1]
[9,"Nurse Practitioner","H0033","N/A",184.41,1,true,true,true,true,true,9,"Nurse Practitioner","H0033","N/A",184.41,1]
[9,"Nurse Practitioner","H0034","N/A",184.41,1,true,true,true,true,true,9,"Nurse Practitioner","H0034","N/A",184.41,1]
[9,"Nurse Practitioner","H0034","HQ",40.98,1,true,true,true,true,true,9,"Nurse Practitioner","H0034","HQ",40.98,1]
[9,"Nurse Practitioner","H0048","N/A",184.41,1,true,true,true,true,true,9,"Nurse Practitioner","H0048","N/A",184.41,1]
[9,"Nurse Practitioner","H0049","N/A",184.41,1,true,true,true,true,true,9,"Nurse Practitioner","H0049","N/A",184.41,1]
[9,"Nurse Practitioner","H0050","N/A",184.41,1,true,true,true,true,true,9,"Nurse Practitioner","H0050","N/A",184.41,1]
[9,"Nurse Practitioner","H1000","N/A",184.41,1,true,true,true,true,true,9,"Nurse Practitioner","H1000","N/A",184.41,1]
[9,"Nurse Practitioner","H2014","N/A",184.41,1,true,true,true,true,true,9,"Nurse Practitioner","H2014","N/A",184.41,1]
[9,"Nurse Practitioner","H2014","HQ",40.98,1,true,true,true,true,true,9,"Nurse Practitioner","H2014","HQ",40.98,1]
[9,"Nurse Practitioner","H2015","N/A",184.41,1,true,true,true,true,true,9,"Nurse Practitioner","H2015","N/A",184.41,1]
[9,"Nurse Practitioner","H2017","N/A",184.41,1,true,true,true,true,true,9,"Nurse Practitioner","H2017","N/A",184.41,1]
[9,"Nurse Practitioner","H2017","HQ",40.98,1,true,true,true,true,true,9,"Nurse Practitioner","H2017","HQ",40.98,1]
[9,"Nurse Practitioner","H2021","N/A",184.41,1,true,true,true,true,true,9,"Nurse Practitioner","H2021","N/A",184.41,1]
[9,"Nurse Practitioner","H2027","N/A",184.41,1,true,true,true,true,true,9,"Nurse Practitioner","H2027","N/A",184.41,1]
[9,"Nurse Practitioner","H2035","N/A",737.63,1,true,true,true,true,true,9,"Nurse Practitioner","H2035","N/A",737.63,1]
[9,"Nurse Practitioner","T1006","N/A",184.41,1,true,true,true,true,true,9,"Nurse Practitioner","T1006","N/A",184.41,1]
[9,"Nurse Practitioner","T1007","N/A",184.41,1,true,true,true,true,true,9,"Nurse Practitioner","T1007","N/A",184.41,1]
[9,"Nurse Practitioner","T1013","N/A",31.88,1,true,true,true,true,true,9,"Nurse Practitioner","T1013","N/A",31.88,1]
[9,"Nurse Practitioner","T1017","N/A",184.41,1,true,true,true,true,true,9,"Nurse Practitioner","T1017","N/A",184.41,1]
[9,"Nurse Practitioner","T2021","N/A",184.41,1,true,true,true,true,true,9,"Nurse Practitioner","T2021","N/A",184.41,1]
[9,"Nurse Practitioner","T2021","HQ",40.98,1,true,true,true,true,true,9,"Nurse Practitioner","T2021","HQ",40.98,1]
[9,"Nurse Practitioner","T2021",22,187.42,1,true,true,true,true,true,9,"Nurse Practitioner","T2021",22,187.42,1]
[9,"Nurse Practitioner","T2024","N/A",184.41,1,true,true,true,true,true,9,"Nurse Practitioner","T2024","N/A",184.41,1]
[9,"Occupational Therapist",90785,"N/A",18.89,1,true,true,true,true,true,9,"Occupational Therapist",90785,"N/A",18.89,1]
[9,"Occupational Therapist",90882,"N/A",128.47,1,true,true,true,true,true,9,"Occupational Therapist",90882,"N/A",128.47,1]
[9,"Occupational Therapist",90887,"N/A",428.24,1,true,true,true,true,true,9,"Occupational Therapist",90887,"N/A",428.24,1]
[9,"Occupational Therapist",90889,"N/A",128.47,1,true,true,true,true,true,9,"Occupational Therapist",90889,"N/A",128.47,1]
[9,"Occupational Therapist",96160,"N/A",128.47,1,true,true,true,true,true,9,"Occupational Therapist",96160,"N/A",128.47,1]
[9,"Occupational Therapist",96170,"N/A",256.95,1,true,true,true,true,true,9,"Occupational Therapist",96170,"N/A",256.95,1]
[9,"Occupational Therapist",96171,"N/A",128.47,1,true,true,true,true,true,9,"Occupational Therapist",96171,"N/A",128.47,1]
[9,"Occupational Therapist",96202,"N/A",114.2,1,true,true,true,true,true,9,"Occupational Therapist",96202,"N/A",114.2,1]
[9,"Occupational Therapist",96203,"N/A",28.55,1,true,true,true,true,true,9,"Occupational Therapist",96203,"N/A",28.55,1]
[9,"Occupational Therapist",97550,"N/A",196.99,1,true,true,true,true,true,9,"Occupational Therapist",97550,"N/A",196.99,1]
[9,"Occupational Therapist",97551,"N/A",128.47,1,true,true,true,true,true,9,"Occupational Therapist",97551,"N/A",128.47,1]
[9,"Occupational Therapist",97552,"N/A",85.65,1,true,true,true,true,true,9,"Occupational Therapist",97552,"N/A",85.65,1]
[9,"Occupational Therapist","G0539","N/A",196.99,1,true,true,true,true,true,9,"Occupational Therapist","G0539","N/A",196.99,1]
[9,"Occupational Therapist","G0540","N/A",128.47,1,true,true,true,true,true,9,"Occupational Therapist","G0540","N/A",128.47,1]
[9,"Occupational Therapist","G0541","N/A",196.99,1,true,true,true,true,true,9,"Occupational Therapist","G0541","N/A",196.99,1]
[9,"Occupational Therapist","G0542","N/A",128.47,1,true,true,true,true,true,9,"Occupational Therapist","G0542","N/A",128.47,1]
[9,"Occupational Therapist","G0543","N/A",85.65,1,true,true,true,true,true,9,"Occupational Therapist","G0543","N/A",85.65,1]
[9,"Occupational Therapist","H0001","N/A",128.47,1,true,true,true,true,true,9,"Occupational Therapist","H0001","N/A",128.47,1]
[9,"Occupational Therapist","H0004","N/A",128.47,1,true,true,true,true,true,9,"Occupational Therapist","H0004","N/A",128.47,1]
[9,"Occupational Therapist","H0005","N/A",28.55,1,true,true,true,true,true,9,"Occupational Therapist","H0005","N/A",28.55,1]
[9,"Occupational Therapist","H0007","N/A",128.47,1,true,true,true,true,true,9,"Occupational Therapist","H0007","N/A",128.47,1]
[9,"Occupational Therapist","H0033","N/A",128.47,1,true,true,true,true,true,9,"Occupational Therapist","H0033","N/A",128.47,1]
[9,"Occupational Therapist","H0050","N/A",128.47,1,true,true,true,true,true,9,"Occupational Therapist","H0050","N/A",128.47,1]
[9,"Occupational Therapist","H2014","N/A",128.47,1,true,true,true,true,true,9,"Occupational Therapist","H2014","N/A",128.47,1]
[9,"Occupational Therapist","H2014","HQ",28.55,1,true,true,true,true,true,9,"Occupational Therapist","H2014","HQ",28.55,1]
[9,"Occupational Therapist","H2015","N/A",128.47,1,true,true,true,true,true,9,"Occupational Therapist","H2015","N/A",128.47,1]
[9,"Occupational Therapist","H2017","N/A",128.47,1,true,true,true,true,true,9,"Occupational Therapist","H2017","N/A",128.47,1]
[9,"Occupational Therapist","H2017","HQ",28.55,1,true,true,true,true,true,9,"Occupational Therapist","H2017","HQ",28.55,1]
[9,"Occupational Therapist","H2021","N/A",128.47,1,true,true,true,true,true,9,"Occupational Therapist","H2021","N/A",128.47,1]
[9,"Occupational Therapist","H2027","N/A",128.47,1,true,true,true,true,true,9,"Occupational Therapist","H2027","N/A",128.47,1]
[9,"Occupational Therapist","T1007","N/A",128.47,1,true,true,true,true,true,9,"Occupational Therapist","T1007","N/A",128.47,1]
[9,"Occupational Therapist","T1013","N/A",31.88,1,true,true,true,true,true,9,"Occupational Therapist","T1013","N/A",31.88,1]
[9,"Occupational Therapist","T1017","N/A",128.47,1,{"$f":"EXACT(A1987,L1987)","v":true},{"$f":"EXACT(B1987,M1987)","v":true},{"$f":"EXACT(C1987,N1987)","v":true},{"$f":"EXACT(D1987,O1987)","v":true},{"$f":"EXACT(E1987,P1987)","v":true},9,"Occupational Therapist","T1017","N/A",128.47,1]
[9,"Occupational Therapist","T2024","N/A",128.47,1,true,true,true,true,true,9,"Occupational Therapist","T2024","N/A",128.47,1]
[9,"Other Qualified Practitioner",90785,"N/A",18.32,1,true,true,true,true,true,9,"Other Qualified Practitioner",90785,"N/A",18.32,1]
[9,"Other Qualified Practitioner",90882,"N/A",72.61,1,true,true,true,true,true,9,"Other Qualified Practitioner",90882,"N/A",72.61,1]
[9,"Other Qualified Practitioner","G0396","N/A",111.34,1,true,true,true,true,true,9,"Other Qualified Practitioner","G0396","N/A",111.34,1]
[9,"Other Qualified Practitioner","G0397","N/A",290.45,1,true,true,true,true,true,9,"Other Qualified Practitioner","G0397","N/A",290.45,1]
[9,"Other Qualified Practitioner","G2011","N/A",48.41,{"$f":"IF(C1993=\"G0323\",9,1)","v":1},true,true,true,true,true,9,"Other Qualified Practitioner","G2011","N/A",48.41,{"$f":"IF(OR(N1993=\"H0036\",N1993=\"G0323\"),9,1)","v":1}]
[9,"Other Qualified Practitioner","H0001","N/A",72.61,1,true,true,true,true,true,9,"Other Qualified Practitioner","H0001","N/A",72.61,1]
[9,"Other Qualified Practitioner","H0049","N/A",72.61,1,true,true,true,true,true,9,"Other Qualified Practitioner","H0049","N/A",72.61,1]
[9,"Other Qualified Practitioner","H0050","N/A",72.61,1,true,true,true,true,true,9,"Other Qualified Practitioner","H0050","N/A",72.61,1]
[9,"Other Qualified Practitioner","H1000","N/A",72.61,1,true,true,true,true,true,9,"Other Qualified Practitioner","H1000","N/A",72.61,1]
[9,"Other Qualified Practitioner","H2014","N/A",72.61,1,true,true,true,true,true,9,"Other Qualified Practitioner","H2014","N/A",72.61,1]
[9,"Other Qualified Practitioner","H2014","HQ",16.14,1,true,true,true,true,true,9,"Other Qualified Practitioner","H2014","HQ",16.14,1]
[9,"Other Qualified Practitioner","H2015","N/A",72.61,1,true,true,true,true,true,9,"Other Qualified Practitioner","H2015","N/A",72.61,1]
[9,"Other Qualified Practitioner","H2027","N/A",72.61,1,true,true,true,true,true,9,"Other Qualified Practitioner","H2027","N/A",72.61,1]
[9,"Physician Assistant",90792,"N/A",665.28,1,true,true,true,true,true,9,"Physician Assistant",90792,"N/A",665.28,1]
[9,"Physician Assistant",97550,"N/A",255.02,1,true,true,true,true,true,9,"Physician Assistant",97550,"N/A",255.02,1]
[9,"Physician Assistant",99214,"N/A",388.08,1,true,true,true,true,true,9,"Physician Assistant",99214,"N/A",388.08,1]
[9,"Physician Assistant",99239,"N/A",665.28,1,true,true,true,true,true,9,"Physician Assistant",99239,"N/A",665.28,1]
[9,"Physician Assistant",99345,"N/A",909.22,1,true,true,true,true,true,9,"Physician Assistant",99345,"N/A",909.22,1]
[9,"Physician Assistant",99443,"N/A",288.29000000000002,1,true,true,true,true,true,9,"Physician Assistant",99443,"N/A",288.29000000000002,1]
[9,"Physician Assistant","G0316","N/A",166.32,1,true,true,true,true,true,9,"Physician Assistant","G0316","N/A",166.32,1]
[9,"Physician Assistant","H0007","N/A",166.32,1,true,true,true,true,true,9,"Physician Assistant","H0007","N/A",166.32,1]
[9,"Physician Assistant","H2035","N/A",665.28,1,true,true,true,true,true,9,"Physician Assistant","H2035","N/A",665.28,1]
[9,"Psychologist (Licensed or Waivered)",90846,"N/A",497.13,{"$f":"IF(C2121=\"G0323\",9,1)","v":1},true,true,true,true,true,9,"Psychologist (Licensed or Waivered)",90846,"N/A",497.13,{"$f":"IF(OR(N2121=\"H0036\",N2121=\"G0323\"),9,1)","v":1}]
[9,"Psychologist (Licensed or Waivered)",90889,"N/A",149.13999999999999,1,true,true,true,true,true,9,"Psychologist (Licensed or Waivered)",90889,"N/A",149.13999999999999,1]
[9,"Psychologist (Licensed or Waivered)","G0396","N/A",228.68,1,true,true,true,true,true,9,"Psychologist (Licensed or Waivered)","G0396","N/A",228.68,1]
[9,"Psychologist (Licensed or Waivered)","H0003","N/A",149.13999999999999,1,true,true,true,true,true,9,"Psychologist (Licensed or Waivered)","H0003","N/A",149.13999999999999,1]
[9,"Psychologist (Licensed or Waivered)","H2035","N/A",596.55999999999995,1,true,true,true,true,true,9,"Psychologist (Licensed or Waivered)","H2035","N/A",596.55999999999995,1]
[9,"Registered Nurse",90882,"N/A",150.63,1,true,true,true,true,true,9,"Registered Nurse",90882,"N/A",150.63,1]
[9,"Registered Nurse","G0396","N/A",230.97,1,true,true,true,true,true,9,"Registered Nurse","G0396","N/A",230.97,1]
[9,"Registered Nurse","H0033","N/A",150.63,1,true,true,true,true,true,9,"Registered Nurse","H0033","N/A",150.63,1]
[9,"Registered Nurse","H2015","N/A",150.63,1,true,true,true,true,true,9,"Registered Nurse","H2015","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","G0542","N/A",177.51,1,true,true,true,true,true,9,"Registered Pharmacist","G0542","N/A",177.51,1]
[9,"Registered Pharmacist","H0033","N/A",177.51,1,true,true,true,true,true,9,"Registered Pharmacist","H0033","N/A",177.51,1]
[10,"Certified AOD Counselor",90882,"N/A",87.25,1,true,true,true,true,true,10,"Certified AOD Counselor",90882,"N/A",87.25,1]
[10,"Certified AOD Counselor","H1000","N/A",87.25,1,true,true,true,true,true,10,"Certified AOD Counselor","H1000","N/A",87.25,1]
[10,"Certified AOD Counselor","T1007","N/A",87.25,1,true,true,true,true,true,10,"Certified AOD Counselor","T1007","N/A",87.25,1]
[10,"LCSW (Licensed, Waivered or Registered)",96202,"N/A",93.5,1,true,true,true,true,true,10,"LCSW (Licensed, Waivered or Registered)",96202,"N/A",93.5,1]
[10,"LCSW (Licensed, Waivered or Registered)",97551,"N/A",105.18,1,true,true,true,true,true,10,"LCSW (Licensed, Waivered or Registered)",97551,"N/A",105.18,1]
[10,"LCSW (Licensed, Waivered or Registered)","H0049","N/A",105.18,1,true,true,true,true,true,10,"LCSW (Licensed, Waivered or Registered)","H0049","N/A",105.18,1]
[10,"LCSW (Licensed, Waivered or Registered)","H2035","N/A",420.73,1,true,true,true,true,true,10,"LCSW (Licensed, Waivered or Registered)","H2035","N/A",420.73,1]
[10,"Licensed Physician",90791,"N/A",1616.62,1,true,true,true,true,true,10,"Licensed Physician",90791,"N/A",1616.62,1]
[10,"Licensed Physician",90889,"N/A",404.16,1,true,true,true,true,true,10,"Licensed Physician",90889,"N/A",404.16,1]
[10,"Licensed Physician",99212,"N/A",404.16,1,true,true,true,true,true,10,"Licensed Physician",99212,"N/A",404.16,1]
[10,"Licensed Physician",99236,"N/A",2478.8200000000002,1,true,true,true,true,true,10,"Licensed Physician",99236,"N/A",2478.8200000000002,1]
[10,"Licensed Physician",99342,"N/A",1212.47,{"$f":"IF(C2377=\"G0323\",9,1)","v":1},true,true,true,true,true,10,"Licensed Physician",99342,"N/A",1212.47,{"$f":"IF(OR(N2377=\"H0036\",N2377=\"G0323\"),9,1)","v":1}]
[10,"Licensed Physician",99441,"N/A",215.55,1,true,true,true,true,true,10,"Licensed Physician",99441,"N/A",215.55,1]
[10,"Licensed Physician","G0542","N/A",404.16,1,true,true,true,true,true,10,"Licensed Physician","G0542","N/A",404.16,1]
[10,"Licensed Physician","H0003","N/A",404.16,1,true,true,true,true,true,10,"Licensed Physician","H0003","N/A",404.16,1]
[10,"Licensed Physician","T1006","N/A",404.16,1,true,true,true,true,true,10,"Licensed Physician","T1006","N/A",404.16,1]
[10,"Licensed Physician","T2021","N/A",404.16,1,true,true,true,true,true,10,"Licensed Physician","T2021","N/A",404.16,1]
[10,"Licensed Psychiatric Technician",96171,"N/A",73.930000000000007,1,true,true,true,true,true,10,"Licensed Psychiatric Technician",96171,"N/A",73.930000000000007,1]
[10,"Licensed Psychiatric Technician","G0543","N/A",49.29,1,true,true,true,true,true,10,"Licensed Psychiatric Technician","G0543","N/A",49.29,1]
[10,"Licensed Psychiatric Technician","H2015","N/A",73.930000000000007,1,true,true,true,true,true,10,"Licensed Psychiatric Technician","H2015","N/A",73.930000000000007,1]
[10,"Licensed Vocational Nurse",90882,"N/A",86.24,1,true,true,true,true,true,10,"Licensed Vocational Nurse",90882,"N/A",86.24,1]
[10,"Licensed Vocational Nurse","G0542","N/A",86.24,1,true,true,true,true,true,10,"Licensed Vocational Nurse","G0542","N/A",86.24,1]
[10,"Licensed Vocational Nurse","H0034","N/A",86.24,1,true,true,true,true,true,10,"Licensed Vocational Nurse","H0034","N/A",86.24,1]
[10,"Licensed Vocational Nurse","H2027","N/A",86.24,1,true,true,true,true,true,10,"Licensed Vocational Nurse","H2027","N/A",86.24,1]
[10,"Medical Assistant","H0048","N/A",59.28,1,true,true,true,true,true,10,"Medical Assistant","H0048","N/A",59.28,1]
[10,"Medical Assistant","H2021","N/A",59.28,1,true,true,true,true,true,10,"Medical Assistant","H2021","N/A",59.28,1]
[10,"MFT/LPCC (Licensed, Waivered or Registered)",90846,"N/A",350.61,1,true,true,true,true,true,10,"MFT/LPCC (Licensed, Waivered or Registered)",90846,"N/A",350.61,1]
[10,"MFT/LPCC (Licensed, Waivered or Registered)","G0539","N/A",161.28,{"$f":"IF(C2569=\"G0323\",9,1)","v":1},true,true,true,true,true,10,"MFT/LPCC (Licensed, Waivered or Registered)","G0539","N/A",161.28,{"$f":"IF(OR(N2569=\"H0036\",N2569=\"G0323\"),9,1)","v":1}]
[10,"MFT/LPCC (Licensed, Waivered or Registered)","H1000","N/A",105.18,1,true,true,true,true,true,10,"MFT/LPCC (Licensed, Waivered or Registered)","H1000","N/A",105.18,1]
[10,"MFT/LPCC (Licensed, Waivered or Registered)","H2017","HQ",23.37,1,true,true,true,true,true,10,"MFT/LPCC (Licensed, Waivered or Registered)","H2017","HQ",23.37,1]
[10,"Nurse Practitioner",90849,"N/A",250.1,1,true,true,true,true,true,10,"Nurse Practitioner",90849,"N/A",250.1,1]
[10,"Nurse Practitioner",96131,"N/A",803.9,1,true,true,true,true,true,10,"Nurse Practitioner",96131,"N/A",803.9,1]
[10,"Nurse Practitioner",98967,"N/A",214.37,1,true,true,true,true,true,10,"Nurse Practitioner",98967,"N/A",214.37,1]
[10,"Nurse Practitioner",99235,"N/A",1031.67,1,true,true,true,true,true,10,"Nurse Practitioner",99235,"N/A",1031.67,1]
[10,"Nurse Practitioner",99349,"N/A",669.92,1,true,true,true,true,true,10,"Nurse Practitioner",99349,"N/A",669.92,1]
[10,"Nurse Practitioner",99416,"N/A",401.95,1,true,true,true,true,true,10,"Nurse Practitioner",99416,"N/A",401.95,1]
[10,"Nurse Practitioner","G0542","N/A",200.98,1,true,true,true,true,true,10,"Nurse Practitioner","G0542","N/A",200.98,1]
[10,"Nurse Practitioner","H0033","N/A",200.98,1,true,true,true,true,true,10,"Nurse Practitioner","H0033","N/A",200.98,1]
[10,"Nurse Practitioner","H2014","N/A",200.98,1,true,true,true,true,true,10,"Nurse Practitioner","H2014","N/A",200.98,1]
[10,"Nurse Practitioner","T1013","N/A",31.88,1,true,true,true,true,true,10,"Nurse Practitioner","T1013","N/A",31.88,1]
[10,"Occupational Therapist",97552,"N/A",93.34,1,true,true,true,true,true,10,"Occupational Therapist",97552,"N/A",93.34,1]
[10,"Occupational Therapist","H0001","N/A",140.02000000000001,1,true,true,true,true,true,10,"Occupational Therapist","H0001","N/A",140.02000000000001,1]
[10,"Occupational Therapist","H2021","N/A",140.02000000000001,1,true,true,true,true,true,10,"Occupational Therapist","H2021","N/A",140.02000000000001,1]
[10,"Other Qualified Practitioner","H2017","N/A",79.14,1,true,true,true,true,true,10,"Other Qualified Practitioner","H2017","N/A",79.14,1]
[10,"Peer Support Specialists","H0050","N/A",83.09,{"$f":"IF(C2761=\"G0323\",9,1)","v":1},true,true,true,true,true,10,"Peer Support Specialists","H0050","N/A",83.09,{"$f":"IF(OR(N2761=\"H0036\",N2761=\"G0323\"),9,1)","v":1}]
[10,"Physician Assistant",90849,"N/A",225.57,1,true,true,true,true,true,10,"Physician Assistant",90849,"N/A",225.57,1]
[10,"Physician Assistant",97550,"N/A",277.93,1,true,true,true,true,true,10,"Physician Assistant",97550,"N/A",277.93,1]
[10,"Physician Assistant",99235,"N/A",930.47,1,true,true,true,true,true,10,"Physician Assistant",99235,"N/A",930.47,1]
[10,"Physician Assistant",99306,"N/A",688.79,1,true,true,true,true,true,10,"Physician Assistant",99306,"N/A",688.79,1]
[10,"Physician Assistant",99349,"N/A",604.20000000000005,1,true,true,true,true,true,10,"Physician Assistant",99349,"N/A",604.20000000000005,1]
[10,"Physician Assistant",99496,"N/A",906.3,1,true,true,true,true,true,10,"Physician Assistant",99496,"N/A",906.3,1]
[10,"Physician Assistant","H0005","N/A",40.28,1,true,true,true,true,true,10,"Physician Assistant","H0005","N/A",40.28,1]
[10,"Physician Assistant","H0033","N/A",181.26,1,true,true,true,true,true,10,"Physician Assistant","H0033","N/A",181.26,1]
[10,"Physician Assistant","T1013","N/A",31.88,1,true,true,true,true,true,10,"Physician Assistant","T1013","N/A",31.88,1]
[10,"Psychologist (Licensed or Waivered)",90885,"N/A",650.15,1,true,true,true,true,true,10,"Psychologist (Licensed or Waivered)",90885,"N/A",650.15,1]
[10,"Psychologist (Licensed or Waivered)",96160,"N/A",162.54,1,true,true,true,true,true,10,"Psychologist (Licensed or Waivered)",96160,"N/A",162.54,1]
[10,"Psychologist (Licensed or Waivered)","G0396","N/A",249.22,1,true,true,true,true,true,10,"Psychologist (Licensed or Waivered)","G0396","N/A",249.22,1]
[10,"Psychologist (Licensed or Waivered)","H2014","N/A",162.54,1,true,true,true,true,true,10,"Psychologist (Licensed or Waivered)","H2014","N/A",162.54,1]
[10,"Psychologist (Licensed or Waivered)","T1013","N/A",31.88,1,true,true,true,true,true,10,"Psychologist (Licensed or Waivered)","T1013","N/A",31.88,1]
[10,"Registered Nurse",99239,"N/A",656.65,1,true,true,true,true,true,10,"Registered Nurse",99239,"N/A",656.65,1]
[10,"Registered Nurse","G0540","N/A",164.16,1,true,true,true,true,true,10,"Registered Nurse","G0540","N/A",164.16,1]
[10,"Registered Nurse","H0033","N/A",164.16,1,true,true,true,true,true,10,"Registered Nurse","H0033","N/A",164.16,1]
[10,"Registered Nurse","H0050","N/A",164.16,1,true,true,true,true,true,10,"Registered Nurse","H0050","N/A",164.16,1]
[10,"Registered Pharmacist",97552,"N/A",128.97,1,true,true,true,true,true,10,"Registered Pharmacist",97552,"N/A",128.97,1]
[10,"Registered Pharmacist","G0542","N/A",193.46,1,true,true,true,true,true,10,"Registered Pharmacist","G0542","N/A",193.46,1]
[10,"Registered Pharmacist","H0048","N/A",193.46,1,true,true,true,true,true,10,"Registered Pharmacist","H0048","N/A",193.46,1]
[13,"Certified AOD Counselor",90882,"N/A",84.46,1,true,true,true,true,true,13,"Certified AOD Counselor",90882,"N/A",84.46,1]
[13,"Certified AOD Counselor","H2015","N/A",84.46,{"$f":"IF(C3017=\"G0323\",9,1)","v":1},true,true,true,true,true,13,"Certified AOD Counselor","H2015","N/A",84.46,{"$f":"IF(OR(N3017=\"H0036\",N3017=\"G0323\"),9,1)","v":1}]
[13,"Certified AOD Counselor","T2024","N/A",84.46,1,true,true,true,true,true,13,"Certified AOD Counselor","T2024","N/A",84.46,1]
[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,"LCSW (Licensed, Waivered or Registered)","G0397","N/A",407.27,1,true,true,true,true,true,13,"LCSW (Licensed, Waivered or Registered)","G0397","N/A",407.27,1]
[13,"LCSW (Licensed, Waivered or Registered)","H0049","N/A",101.82,1,true,true,true,true,true,13,"LCSW (Licensed, Waivered or Registered)","H0049","N/A",101.82,1]
[13,"LCSW (Licensed, Waivered or Registered)","T1013","N/A",31.88,1,true,true,true,true,true,13,"LCSW (Licensed, Waivered or Registered)","T1013","N/A",31.88,1]
[13,"Licensed Physician",90847,"N/A",1304.08,1,true,true,true,true,true,13,"Licensed Physician",90847,"N/A",1304.08,1]
[13,"Licensed Physician",90889,"N/A",391.22,1,true,true,true,true,true,13,"Licensed Physician",90889,"N/A",391.22,1]
[13,"Licensed Physician",99202,"N/A",573.79,1,true,true,true,true,true,13,"Licensed Physician",99202,"N/A",573.79,1]
[13,"Licensed Physician",99344,"N/A",1747.46,1,true,true,true,true,true,13,"Licensed Physician",99344,"N/A",1747.46,1]
[13,"Licensed Physician",99347,"N/A",652.04,1,true,true,true,true,true,13,"Licensed Physician",99347,"N/A",652.04,1]
[13,"Licensed Physician",99418,"N/A",391.22,1,true,true,true,true,true,13,"Licensed Physician",99418,"N/A",391.22,1]
[13,"Licensed Physician","G0542","N/A",391.22,1,true,true,true,true,true,13,"Licensed Physician","G0542","N/A",391.22,1]
[13,"Licensed Physician","H0007","N/A",391.22,1,true,true,true,true,true,13,"Licensed Physician","H0007","N/A",391.22,1]
[13,"Licensed Physician","H2017","HQ",86.94,1,true,true,true,true,true,13,"Licensed Physician","H2017","HQ",86.94,1]
[13,"Licensed Psychiatric Technician",90889,"N/A",71.569999999999993,1,true,true,true,true,true,13,"Licensed Psychiatric Technician",90889,"N/A",71.569999999999993,1]
[13,"Licensed Psychiatric Technician","G0397","N/A",286.26,1,true,true,true,true,true,13,"Licensed Psychiatric Technician","G0397","N/A",286.26,1]
[13,"Licensed Psychiatric Technician","H0050","N/A",71.569999999999993,1,true,true,true,true,true,13,"Licensed Psychiatric Technician","H0050","N/A",71.569999999999993,1]
[13,"Licensed Psychiatric Technician","H2021","N/A",71.569999999999993,1,true,true,true,true,true,13,"Licensed Psychiatric Technician","H2021","N/A",71.569999999999993,1]
[13,"Licensed Vocational Nurse",97550,"N/A",128,1,true,true,true,true,true,13,"Licensed Vocational Nurse",97550,"N/A",128,1]
[13,"Licensed Vocational Nurse","G0396","N/A",128,1,true,true,true,true,true,13,"Licensed Vocational Nurse","G0396","N/A",128,1]
[13,"Licensed Vocational Nurse","H2014","HQ",18.55,1,true,true,true,true,true,13,"Licensed Vocational Nurse","H2014","HQ",18.55,1]
[13,"Licensed Vocational Nurse","H2027","N/A",83.48,1,true,true,true,true,true,13,"Licensed Vocational Nurse","H2027","N/A",83.48,1]
[13,"Medical Assistant",96170,"N/A",114.77,1,true,true,true,true,true,13,"Medical Assistant",96170,"N/A",114.77,1]
[13,"MFT/LPCC (Licensed, Waivered or Registered)",90846,"N/A",339.39,1,true,true,true,true,true,13,"MFT/LPCC (Licensed, Waivered or Registered)",90846,"N/A",339.39,1]
[13,"MFT/LPCC (Licensed, Waivered or Registered)",97550,"N/A",156.12,1,true,true,true,true,true,13,"MFT/LPCC (Licensed, Waivered or Registered)",97550,"N/A",156.12,1]
[13,"MFT/LPCC (Licensed, Waivered or Registered)",97551,"N/A",101.82,1,true,true,true,true,true,13,"MFT/LPCC (Licensed, Waivered or Registered)",97551,"N/A",101.82,1]
[13,"MFT/LPCC (Licensed, Waivered or Registered)","H1000","N/A",101.82,1,{"$f":"EXACT(A3331,L3331)","v":true},{"$f":"EXACT(B3331,M3331)","v":true},{"$f":"EXACT(C3331,N3331)","v":true},{"$f":"EXACT(D3331,O3331)","v":true},{"$f":"EXACT(E3331,P3331)","v":true},13,"MFT/LPCC (Licensed, Waivered or Registered)","H1000","N/A",101.82,1]
[13,"MFT/LPCC (Licensed, Waivered or Registered)","H2035","N/A",407.27,1,true,true,true,true,true,13,"MFT/LPCC (Licensed, Waivered or Registered)","H2035","N/A",407.27,1]
[13,"Nurse Practitioner",90791,"N/A",778.18,1,true,true,true,true,true,13,"Nurse Practitioner",90791,"N/A",778.18,1]
[13,"Nurse Practitioner",96131,"N/A",778.18,1,true,true,true,true,true,13,"Nurse Practitioner",96131,"N/A",778.18,1]
[13,"Nurse Practitioner",99203,"N/A",479.88,1,true,true,true,true,true,13,"Nurse Practitioner",99203,"N/A",479.88,1]
[13,"Nurse Practitioner",99235,"N/A",998.66,1,true,true,true,true,true,13,"Nurse Practitioner",99235,"N/A",998.66,1]
[13,"Nurse Practitioner",99408,"N/A",298.3,{"$f":"IF(C3401=\"G0323\",9,1)","v":1},true,true,true,true,true,13,"Nurse Practitioner",99408,"N/A",298.3,{"$f":"IF(OR(N3401=\"H0036\",N3401=\"G0323\"),9,1)","v":1}]
[13,"Nurse Practitioner",99424,"N/A",389.09,1,true,true,true,true,true,13,"Nurse Practitioner",99424,"N/A",389.09,1]
[13,"Nurse Practitioner","G0542","N/A",194.55,1,true,true,true,true,true,13,"Nurse Practitioner","G0542","N/A",194.55,1]
[13,"Nurse Practitioner","H0048","N/A",194.55,1,true,true,true,true,true,13,"Nurse Practitioner","H0048","N/A",194.55,1]
[13,"Nurse Practitioner","H2017","HQ",43.23,1,true,true,true,true,true,13,"Nurse Practitioner","H2017","HQ",43.23,1]
[13,"Nurse Practitioner","T2021","HQ",43.23,1,true,true,true,true,true,13,"Nurse Practitioner","T2021","HQ",43.23,1]
[13,"Occupational Therapist","G0541","N/A",207.82,1,true,true,true,true,true,13,"Occupational Therapist","G0541","N/A",207.82,1]
[13,"Occupational Therapist","H0001","N/A",135.54,1,true,true,true,true,true,13,"Occupational Therapist","H0001","N/A",135.54,1]
[13,"Occupational Therapist","T1013","N/A",31.88,1,true,true,true,true,true,13,"Occupational Therapist","T1013","N/A",31.88,1]
[13,"Other Qualified Practitioner","G2011","N/A",51.07,1,true,true,true,true,true,13,"Other Qualified Practitioner","G2011","N/A",51.07,1]
[13,"Physician Assistant",90792,"N/A",701.84,1,true,true,true,true,true,13,"Physician Assistant",90792,"N/A",701.84,1]
[13,"Physician Assistant",90885,"N/A",701.84,1,true,true,true,true,true,13,"Physician Assistant",90885,"N/A",701.84,1]
[13,"Physician Assistant",98967,"N/A",187.16,1,true,true,true,true,true,13,"Physician Assistant",98967,"N/A",187.16,1]
[13,"Physician Assistant",99239,"N/A",701.84,1,true,true,true,true,true,13,"Physician Assistant",99239,"N/A",701.84,1]
[13,"Physician Assistant",99306,"N/A",666.75,1,true,true,true,true,true,13,"Physician Assistant",99306,"N/A",666.75,1]
[13,"Physician Assistant",99408,"N/A",269.04000000000002,1,true,true,true,true,true,13,"Physician Assistant",99408,"N/A",269.04000000000002,1]
[13,"Physician Assistant","G0397","N/A",701.84,1,true,true,true,true,true,13,"Physician Assistant","G0397","N/A",701.84,1]
[13,"Physician Assistant","G0540","N/A",175.46,1,true,true,true,true,true,13,"Physician Assistant","G0540","N/A",175.46,1]
[13,"Physician Assistant","H0048","N/A",175.46,1,true,true,true,true,true,13,"Physician Assistant","H0048","N/A",175.46,1]
[13,"Physician Assistant","T1013","N/A",31.88,1,true,true,true,true,true,13,"Physician Assistant","T1013","N/A",31.88,1]
[13,"Psychologist (Licensed or Waivered)",90889,"N/A",157.34,1,true,true,true,true,true,13,"Psychologist (Licensed or Waivered)",90889,"N/A",157.34,1]
[13,"Psychologist (Licensed or Waivered)",96202,"N/A",139.86000000000001,1,true,true,true,true,true,13,"Psychologist (Licensed or Waivered)",96202,"N/A",139.86000000000001,1]
[13,"Psychologist (Licensed or Waivered)","G0541","N/A",241.25,1,true,true,true,true,true,13,"Psychologist (Licensed or Waivered)","G0541","N/A",241.25,1]
[13,"Psychologist (Licensed or Waivered)","H2035","N/A",629.35,1,true,true,true,true,true,13,"Psychologist (Licensed or Waivered)","H2035","N/A",629.35,1]
[13,"Psychologist (Licensed or Waivered)","T2021","HQ",34.96,1,true,true,true,true,true,13,"Psychologist (Licensed or Waivered)","T2021","HQ",34.96,1]
[13,"Registered Nurse",96170,"N/A",317.82,1,true,true,true,true,true,13,"Registered Nurse",96170,"N/A",317.82,1]
[13,"Registered Nurse","G0543","N/A",105.94,1,true,true,true,true,true,13,"Registered Nurse","G0543","N/A",105.94,1]
[13,"Registered Nurse","H0033","N/A",158.91,1,true,true,true,true,true,13,"Registered Nurse","H0033","N/A",158.91,1]
[13,"Registered Nurse","H2014","HQ",35.31,1,true,true,true,true,true,13,"Registered Nurse","H2014","HQ",35.31,1]
[13,"Registered Pharmacist","G0397","N/A",749.07,1,true,true,true,true,true,13,"Registered Pharmacist","G0397","N/A",749.07,1]
[13,"Registered Pharmacist","H0003","N/A",187.27,1,true,true,true,true,true,13,"Registered Pharmacist","H0003","N/A",187.27,1]
[13,"Registered Pharmacist","H1000","N/A",187.27,1,true,true,true,true,true,13,"Registered Pharmacist","H1000","N/A",187.27,1]
[15,"Certified AOD Counselor","H2014","HQ",15.8,1,true,true,true,true,true,15,"Certified AOD Counselor","H2014","HQ",15.8,1]
[15,"Certified AOD Counselor","T1007","N/A",71.09,1,true,true,true,true,true,15,"Certified AOD Counselor","T1007","N/A",71.09,1]
[15,"Community Health Worker",98962,"N/A",20.329999999999998,1,true,true,true,true,true,15,"Community Health Worker",98962,"N/A",20.329999999999998,1]
[15,"LCSW (Licensed, Waivered or Registered)",96202,"N/A",76.180000000000007,1,true,true,true,true,true,15,"LCSW (Licensed, Waivered or Registered)",96202,"N/A",76.180000000000007,1]
[15,"LCSW (Licensed, Waivered or Registered)","G0541","N/A",131.4,1,true,true,true,true,true,15,"LCSW (Licensed, Waivered or Registered)","G0541","N/A",131.4,1]
[15,"LCSW (Licensed, Waivered or Registered)","H0049","N/A",85.7,1,true,true,true,true,true,15,"LCSW (Licensed, Waivered or Registered)","H0049","N/A",85.7,1]
[15,"LCSW (Licensed, Waivered or Registered)","H2027","N/A",85.7,1,true,true,true,true,true,15,"LCSW (Licensed, Waivered or Registered)","H2027","N/A",85.7,1]
[15,"Licensed Physician",90882,"N/A",329.29,1,true,true,true,true,true,15,"Licensed Physician",90882,"N/A",329.29,1]
[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",99205,"N/A",1470.82,1,true,true,true,true,true,15,"Licensed Physician",99205,"N/A",1470.82,1]
[15,"Licensed Physician",99344,"N/A",1470.82,1,true,true,true,true,true,15,"Licensed Physician",99344,"N/A",1470.82,1]
[15,"Licensed Physician",99415,"N/A",1317.15,1,true,true,true,true,true,15,"Licensed Physician",99415,"N/A",1317.15,1]
[15,"Licensed Physician",99437,"N/A",658.58,1,true,true,true,true,true,15,"Licensed Physician",99437,"N/A",658.58,1]
[15,"Licensed Physician","G0542","N/A",329.29,1,{"$f":"EXACT(A3907,L3907)","v":true},{"$f":"EXACT(B3907,M3907)","v":true},{"$f":"EXACT(C3907,N3907)","v":true},{"$f":"EXACT(D3907,O3907)","v":true},{"$f":"EXACT(E3907,P3907)","v":true},15,"Licensed Physician","G0542","N/A",329.29,1]
[15,"Licensed Physician","H0049","N/A",329.29,1,true,true,true,true,true,15,"Licensed Physician","H0049","N/A",329.29,1]
[15,"Licensed Physician","H2017","HQ",73.180000000000007,1,true,true,true,true,true,15,"Licensed Physician","H2017","HQ",73.180000000000007,1]
[15,"Licensed Psychiatric Technician",96171,"N/A",60.24,1,true,true,true,true,true,15,"Licensed Psychiatric Technician",96171,"N/A",60.24,1]
[15,"Licensed Psychiatric Technician","G0541","N/A",92.36,1,true,true,true,true,true,15,"Licensed Psychiatric Technician","G0541","N/A",92.36,1]
[15,"Licensed Psychiatric Technician","H0050","N/A",60.24,1,true,true,true,true,true,15,"Licensed Psychiatric Technician","H0050","N/A",60.24,1]
[15,"Licensed Psychiatric Technician","H2014","HQ",13.39,1,true,true,true,true,true,15,"Licensed Psychiatric Technician","H2014","HQ",13.39,1]
[15,"Licensed Vocational Nurse",97550,"N/A",107.74,1,true,true,true,true,true,15,"Licensed Vocational Nurse",97550,"N/A",107.74,1]
[15,"Licensed Vocational Nurse","G0540","N/A",70.27,1,true,true,true,true,true,15,"Licensed Vocational Nurse","G0540","N/A",70.27,1]
[15,"Licensed Vocational Nurse","H0033","N/A",70.27,1,true,true,true,true,true,15,"Licensed Vocational Nurse","H0033","N/A",70.27,1]
[15,"Licensed Vocational Nurse","H2027","N/A",70.27,1,true,true,true,true,true,15,"Licensed Vocational Nurse","H2027","N/A",70.27,1]
[15,"Medical Assistant","H0001","N/A",48.3,1,true,true,true,true,true,15,"Medical Assistant","H0001","N/A",48.3,1]
[15,"Medical Assistant","H2017","HQ",10.73,1,true,true,true,true,true,15,"Medical Assistant","H2017","HQ",10.73,1]
[15,"MFT/LPCC (Licensed, Waivered or Registered)",96202,"N/A",76.180000000000007,1,true,true,true,true,true,15,"MFT/LPCC (Licensed, Waivered or Registered)",96202,"N/A",76.180000000000007,1]
[15,"MFT/LPCC (Licensed, Waivered or Registered)","G0397","N/A",342.79,1,true,true,true,true,true,15,"MFT/LPCC (Licensed, Waivered or Registered)","G0397","N/A",342.79,1]
[15,"MFT/LPCC (Licensed, Waivered or Registered)","H1000","N/A",85.7,1,true,true,true,true,true,15,"MFT/LPCC (Licensed, Waivered or Registered)","H1000","N/A",85.7,1]
[15,"MFT/LPCC (Licensed, Waivered or Registered)","T1013","N/A",31.88,1,true,true,true,true,true,15,"MFT/LPCC (Licensed, Waivered or Registered)","T1013","N/A",31.88,1]
[15,"Nurse Practitioner",90847,"N/A",545.83000000000004,1,true,true,true,true,true,15,"Nurse Practitioner",90847,"N/A",545.83000000000004,1]
[15,"Nurse Practitioner",96131,"N/A",654.99,1,true,true,true,true,true,15,"Nurse Practitioner",96131,"N/A",654.99,1]
[15,"Nurse Practitioner",99234,"N/A",622.24,1,true,true,true,true,true,15,"Nurse Practitioner",99234,"N/A",622.24,1]
[15,"Nurse Practitioner",99235,"N/A",840.57,1,true,true,true,true,true,15,"Nurse Practitioner",99235,"N/A",840.57,1]
[15,"Nurse Practitioner",99342,"N/A",491.24,1,true,true,true,true,true,15,"Nurse Practitioner",99342,"N/A",491.24,1]
[15,"Nurse Practitioner",99495,"N/A",589.49,1,true,true,true,true,true,15,"Nurse Practitioner",99495,"N/A",589.49,1]
[15,"Nurse Practitioner","G0542","N/A",163.75,1,true,true,true,true,true,15,"Nurse Practitioner","G0542","N/A",163.75,1]
[15,"Nurse Practitioner","H0004","N/A",163.75,1,true,true,true,true,true,15,"Nurse Practitioner","H0004","N/A",163.75,1]
[15,"Nurse Practitioner","H2017","HQ",36.39,1,true,true,true,true,true,15,"Nurse Practitioner","H2017","HQ",36.39,1]
[15,"Occupational Therapist",90785,"N/A",18.89,1,true,true,true,true,true,15,"Occupational Therapist",90785,"N/A",18.89,1]
[15,"Occupational Therapist",97551,"N/A",114.08,1,true,true,true,true,true,15,"Occupational Therapist",97551,"N/A",114.08,1]
[15,"Occupational Therapist","H0001","N/A",114.08,1,true,true,true,true,true,15,"Occupational Therapist","H0001","N/A",114.08,1]
[15,"Other Qualified Practitioner",90785,"N/A",18.32,1,true,true,true,true,true,15,"Other Qualified Practitioner",90785,"N/A",18.32,1]
[15,"Other Qualified Practitioner","H2035","N/A",257.89999999999998,1,true,true,true,true,true,15,"Other Qualified Practitioner","H2035","N/A",257.89999999999998,1]
[15,"Physician Assistant",90849,"N/A",183.79,1,true,true,true,true,true,15,"Physician Assistant",90849,"N/A",183.79,1]
[15,"Physician Assistant",96171,"N/A",147.69,1,true,true,true,true,true,15,"Physician Assistant",96171,"N/A",147.69,1]
[15,"Physician Assistant",98967,"N/A",157.53,1,true,true,true,true,true,15,"Physician Assistant",98967,"N/A",157.53,1]
[15,"Physician Assistant",99306,"N/A",561.20000000000005,1,true,true,true,true,true,15,"Physician Assistant",99306,"N/A",561.20000000000005,1]
[15,"Physician Assistant",99310,"N/A",511.97,1,true,true,true,true,true,15,"Physician Assistant",99310,"N/A",511.97,1]
[15,"Physician Assistant",99416,"N/A",295.37,1,true,true,true,true,true,15,"Physician Assistant",99416,"N/A",295.37,1]
[15,"Physician Assistant","G0541","N/A",226.45,1,true,true,true,true,true,15,"Physician Assistant","G0541","N/A",226.45,1]
[15,"Physician Assistant","H0033","N/A",147.69,1,true,true,true,true,true,15,"Physician Assistant","H0033","N/A",147.69,1]
[15,"Physician Assistant","H1000","N/A",147.69,1,true,true,true,true,true,15,"Physician Assistant","H1000","N/A",147.69,1]
[15,"Physician Assistant","T2021",22,150.69999999999999,1,true,true,true,true,true,15,"Physician Assistant","T2021",22,150.69999999999999,1]
[15,"Psychologist (Licensed or Waivered)",96160,"N/A",132.43,1,true,true,true,true,true,15,"Psychologist (Licensed or Waivered)",96160,"N/A",132.43,1]
[15,"Psychologist (Licensed or Waivered)",97551,"N/A",132.43,1,true,true,true,true,true,15,"Psychologist (Licensed or Waivered)",97551,"N/A",132.43,1]
[15,"Psychologist (Licensed or Waivered)","G0541","N/A",203.06,1,true,true,true,true,true,15,"Psychologist (Licensed or Waivered)","G0541","N/A",203.06,1]
[15,"Psychologist (Licensed or Waivered)","T1013","N/A",31.88,1,true,true,true,true,true,15,"Psychologist (Licensed or Waivered)","T1013","N/A",31.88,1]
[15,"Registered Nurse",96170,"N/A",267.51,{"$f":"IF(C4425=\"G0323\",9,1)","v":1},true,true,true,true,true,15,"Registered Nurse",96170,"N/A",267.51,{"$f":"IF(OR(N4425=\"H0036\",N4425=\"G0323\"),9,1)","v":1}]
[15,"Registered Nurse",97552,"N/A",89.17,1,true,true,true,true,true,15,"Registered Nurse",97552,"N/A",89.17,1]
[15,"Registered Nurse","H0003","N/A",133.75,1,true,true,true,true,true,15,"Registered Nurse","H0003","N/A",133.75,1]
[15,"Registered Nurse","H0049","N/A",133.75,1,true,true,true,true,true,15,"Registered Nurse","H0049","N/A",133.75,1]
[15,"Registered Nurse","T1006","N/A",133.75,1,true,true,true,true,true,15,"Registered Nurse","T1006","N/A",133.75,1]
[15,"Registered Pharmacist",97551,"N/A",157.62,1,true,true,true,true,true,15,"Registered Pharmacist",97551,"N/A",157.62,1]
[15,"Registered Pharmacist","H0048","N/A",157.62,1,true,true,true,true,true,15,"Registered Pharmacist","H0048","N/A",157.62,1]
[15,"Registered Pharmacist","H2021","N/A",157.62,1,true,true,true,true,true,15,"Registered Pharmacist","H2021","N/A",157.62,1]
[17,"Certified AOD Counselor","H0001","N/A",123.03,1,true,true,true,true,true,17,"Certified AOD Counselor","H0001","N/A",123.03,1]
[17,"Certified AOD Counselor","T2024","N/A",123.03,1,true,true,true,true,true,17,"Certified AOD Counselor","T2024","N/A",123.03,1]
[17,"LCSW (Licensed, Waivered or Registered)",90785,"N/A",18.89,1,true,true,true,true,true,17,"LCSW (Licensed, Waivered or Registered)",90785,"N/A",18.89,1]
[17,"LCSW (Licensed, Waivered or Registered)",97552,"N/A",98.89,1,true,true,true,true,true,17,"LCSW (Licensed, Waivered or Registered)",97552,"N/A",98.89,1]
[17,"LCSW (Licensed, Waivered or Registered)","G2011","N/A",98.89,1,true,true,true,true,true,17,"LCSW (Licensed, Waivered or Registered)","G2011","N/A",98.89,1]
[17,"LCSW (Licensed, Waivered or Registered)","H0049","N/A",148.33000000000001,1,true,true,true,true,true,17,"LCSW (Licensed, Waivered or Registered)","H0049","N/A",148.33000000000001,1]
[17,"LCSW (Licensed, Waivered or Registered)","T1007","N/A",148.33000000000001,1,true,true,true,true,true,17,"LCSW (Licensed, Waivered or Registered)","T1007","N/A",148.33000000000001,1]
[17,"Licensed Physician",90889,"N/A",569.92999999999995,1,true,true,true,true,true,17,"Licensed Physician",90889,"N/A",569.92999999999995,1]
[17,"Licensed Physician",96170,"N/A",1139.8699999999999,1,true,true,true,true,true,17,"Licensed Physician",96170,"N/A",1139.8699999999999,1]
[17,"Licensed Physician",99214,"N/A",1329.84,1,true,true,true,true,true,17,"Licensed Physician",99214,"N/A",1329.84,1]
[17,"Licensed Physician",99344,"N/A",2545.6999999999998,1,true,true,true,true,true,17,"Licensed Physician",99344,"N/A",2545.6999999999998,1]
[17,"Licensed Physician",99418,"N/A",569.92999999999995,1,true,true,true,true,true,17,"Licensed Physician",99418,"N/A",569.92999999999995,1]
[17,"Licensed Physician",99443,"N/A",987.88,1,true,true,true,true,true,17,"Licensed Physician",99443,"N/A",987.88,1]
[17,"Licensed Physician","G0542","N/A",569.92999999999995,1,true,true,true,true,true,17,"Licensed Physician","G0542","N/A",569.92999999999995,1]
[17,"Licensed Physician","H2014","N/A",569.92999999999995,1,true,true,true,true,true,17,"Licensed Physician","H2014","N/A",569.92999999999995,1]
[17,"Licensed Physician","H2017","HQ",126.65,1,true,true,true,true,true,17,"Licensed Physician","H2017","HQ",126.65,1]
[17,"Licensed Psychiatric Technician",90882,"N/A",104.26,1,true,true,true,true,true,17,"Licensed Psychiatric Technician",90882,"N/A",104.26,1]
[17,"Licensed Psychiatric Technician","G2011","N/A",69.5,1,true,true,true,true,true,17,"Licensed Psychiatric Technician","G2011","N/A",69.5,1]
[17,"Licensed Psychiatric Technician","H0050","N/A",104.26,1,true,true,true,true,true,17,"Licensed Psychiatric Technician","H0050","N/A",104.26,1]
[17,"Licensed Psychiatric Technician","H2017","HQ",23.17,1,true,true,true,true,true,17,"Licensed Psychiatric Technician","H2017","HQ",23.17,1]
[17,"Licensed Vocational Nurse",97550,"N/A",186.47,1,true,true,true,true,true,17,"Licensed Vocational Nurse",97550,"N/A",186.47,1]
[17,"Licensed Vocational Nurse","H0007","N/A",121.61,1,true,true,true,true,true,17,"Licensed Vocational Nurse","H0007","N/A",121.61,1]
[17,"Licensed Vocational Nurse","H0048","N/A",121.61,1,true,true,true,true,true,17,"Licensed Vocational Nurse","H0048","N/A",121.61,1]
[17,"Licensed Vocational Nurse","H2027","N/A",121.61,1,true,true,true,true,true,17,"Licensed Vocational Nurse","H2027","N/A",121.61,1]
[17,"Medical Assistant","H2014","N/A",83.6,1,true,true,true,true,true,17,"Medical Assistant","H2014","N/A",83.6,1]
[17,"MFT/LPCC (Licensed, Waivered or Registered)",90885,"N/A",593.30999999999995,1,true,true,true,true,true,17,"MFT/LPCC (Licensed, Waivered or Registered)",90885,"N/A",593.30999999999995,1]
[17,"MFT/LPCC (Licensed, Waivered or Registered)",97551,"N/A",148.33000000000001,1,true,true,true,true,true,17,"MFT/LPCC (Licensed, Waivered or Registered)",97551,"N/A",148.33000000000001,1]
[17,"MFT/LPCC (Licensed, Waivered or Registered)","G0541","N/A",227.44,1,true,true,true,true,true,17,"MFT/LPCC (Licensed, Waivered or Registered)","G0541","N/A",227.44,1]
[17,"MFT/LPCC (Licensed, Waivered or Registered)","H1000","N/A",148.33000000000001,1,true,true,true,true,true,17,"MFT/LPCC (Licensed, Waivered or Registered)","H1000","N/A",148.33000000000001,1]
[17,"MFT/LPCC (Licensed, Waivered or Registered)","H2027","N/A",148.33000000000001,1,true,true,true,true,true,17,"MFT/LPCC (Licensed, Waivered or Registered)","H2027","N/A",148.33000000000001,1]
[17,"Nurse Practitioner",90847,"N/A",944.71,1,true,true,true,true,true,17,"Nurse Practitioner",90847,"N/A",944.71,1]
[17,"Nurse Practitioner",96170,"N/A",566.83000000000004,1,true,true,true,true,true,17,"Nurse Practitioner",96170,"N/A",566.83000000000004,1]
[17,"Nurse Practitioner",99202,"N/A",415.67,1,true,true,true,true,true,17,"Nurse Practitioner",99202,"N/A",415.67,1]
[17,"Nurse Practitioner",99342,"N/A",850.24,1,true,true,true,true,true,17,"Nurse Practitioner",99342,"N/A",850.24,1]
[17,"Nurse Practitioner",99368,"N/A",1133.6500000000001,1,true,true,true,true,true,17,"Nurse Practitioner",99368,"N/A",1133.6500000000001,1]
[17,"Nurse Practitioner",99418,"N/A",283.41000000000003,1,true,true,true,true,true,17,"Nurse Practitioner",99418,"N/A",283.41000000000003,1]
[17,"Nurse Practitioner","G0542","N/A",283.41000000000003,1,true,true,true,true,true,17,"Nurse Practitioner","G0542","N/A",283.41000000000003,1]
[17,"Nurse Practitioner","H0034","HQ",62.98,1,true,true,true,true,true,17,"Nurse Practitioner","H0034","HQ",62.98,1]
[17,"Nurse Practitioner","H2017","HQ",62.98,1,true,true,true,true,true,17,"Nurse Practitioner","H2017","HQ",62.98,1]
[17,"Occupational Therapist",90889,"N/A",197.45,1,true,true,true,true,true,17,"Occupational Therapist",90889,"N/A",197.45,1]
[17,"Occupational Therapist","G0540","N/A",197.45,1,true,true,true,true,true,17,"Occupational Therapist","G0540","N/A",197.45,1]
[17,"Occupational Therapist","H2027","N/A",197.45,1,true,true,true,true,true,17,"Occupational Therapist","H2027","N/A",197.45,1]
[17,"Other Qualified Practitioner","H0050","N/A",111.6,1,true,true,true,true,true,17,"Other Qualified Practitioner","H0050","N/A",111.6,1]
[17,"Other Qualified Practitioner","H2035","N/A",446.38,1,true,true,true,true,true,17,"Other Qualified Practitioner","H2035","N/A",446.38,1]
[17,"Peer Support Specialists","H0025","N/A",26.04,1,true,true,true,true,true,17,"Peer Support Specialists","H0025","N/A",26.04,1]
[17,"Physician Assistant",97550,"N/A",391.94,1,true,true,true,true,true,17,"Physician Assistant",97550,"N/A",391.94,1]
[17,"Physician Assistant",98967,"N/A",272.64999999999998,1,true,true,true,true,true,17,"Physician Assistant",98967,"N/A",272.64999999999998,1]
[17,"Physician Assistant",99215,"N/A",800.92,1,true,true,true,true,true,17,"Physician Assistant",99215,"N/A",800.92,1]
[17,"Physician Assistant",99310,"N/A",886.12,1,true,true,true,true,true,17,"Physician Assistant",99310,"N/A",886.12,1]
[17,"Physician Assistant",99424,"N/A",511.23,1,true,true,true,true,true,17,"Physician Assistant",99424,"N/A",511.23,1]
[17,"Physician Assistant","G0396","N/A",391.94,1,true,true,true,true,true,17,"Physician Assistant","G0396","N/A",391.94,1]
[17,"Physician Assistant","H0033","N/A",255.61,1,true,true,true,true,true,17,"Physician Assistant","H0033","N/A",255.61,1]
[17,"Physician Assistant","H2015","N/A",255.61,1,true,true,true,true,true,17,"Physician Assistant","H2015","N/A",255.61,1]
[17,"Physician Assistant","T2021",22,258.62,1,true,true,true,true,true,17,"Physician Assistant","T2021",22,258.62,1]
[17,"Psychologist (Licensed or Waivered)",96202,"N/A",203.74,1,true,true,true,true,true,17,"Psychologist (Licensed or Waivered)",96202,"N/A",203.74,1]
[17,"Psychologist (Licensed or Waivered)","G0397","N/A",916.83,1,true,true,true,true,true,17,"Psychologist (Licensed or Waivered)","G0397","N/A",916.83,1]
[17,"Psychologist (Licensed or Waivered)","G0541","N/A",351.45,1,true,true,true,true,true,17,"Psychologist (Licensed or Waivered)","G0541","N/A",351.45,1]
[17,"Psychologist (Licensed or Waivered)","T2021","HQ",50.94,1,true,true,true,true,true,17,"Psychologist (Licensed or Waivered)","T2021","HQ",50.94,1]
[17,"Registered Nurse",97550,"N/A",354.96,1,true,true,true,true,true,17,"Registered Nurse",97550,"N/A",354.96,1]
[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 Nurse","H0007","N/A",231.5,1,true,true,true,true,true,17,"Registered Nurse","H0007","N/A",231.5,1]
[17,"Registered Nurse","H0049","N/A",231.5,1,true,true,true,true,true,17,"Registered Nurse","H0049","N/A",231.5,1]
[17,"Registered Nurse","T1017","N/A",231.5,1,true,true,true,true,true,17,"Registered Nurse","T1017","N/A",231.5,1]
[17,"Registered Pharmacist","G0397","N/A",1091.25,1,true,true,true,true,true,17,"Registered Pharmacist","G0397","N/A",1091.25,1]
[17,"Registered Pharmacist","H1000","N/A",272.81,1,true,true,true,true,true,17,"Registered Pharmacist","H1000","N/A",272.81,1]
[17,"Registered Pharmacist","T1017","N/A",272.81,1,true,true,true,true,true,17,"Registered Pharmacist","T1017","N/A",272.81,1]
[19,"Certified AOD Counselor","H2021","N/A",90.29,1,true,true,true,true,true,19,"Certified AOD Counselor","H2021","N/A",90.29,1]
[19,"Community Health Worker",98962,"N/A",25.83,1,true,true,true,true,true,19,"Community Health Worker",98962,"N/A",25.83,1]
[19,"LCSW (Licensed, Waivered or Registered)",90889,"N/A",108.85,1,true,true,true,true,true,19,"LCSW (Licensed, Waivered or Registered)",90889,"N/A",108.85,1]
[19,"LCSW (Licensed, Waivered or Registered)",97550,"N/A",166.9,1,true,true,true,true,true,19,"LCSW (Licensed, Waivered or Registered)",97550,"N/A",166.9,1]
[19,"LCSW (Licensed, Waivered or Registered)","H0005","N/A",24.19,1,true,true,true,true,true,19,"LCSW (Licensed, Waivered or Registered)","H0005","N/A",24.19,1]
[19,"LCSW (Licensed, Waivered or Registered)","H2014","HQ",24.19,1,true,true,true,true,true,19,"LCSW (Licensed, Waivered or Registered)","H2014","HQ",24.19,1]
[19,"LCSW (Licensed, Waivered or Registered)","T2021","N/A",108.85,1,true,true,true,true,true,19,"LCSW (Licensed, Waivered or Registered)","T2021","N/A",108.85,1]
[19,"Licensed Physician",96160,"N/A",418.24,1,true,true,true,true,true,19,"Licensed Physician",96160,"N/A",418.24,1]
[19,"Licensed Physician",99213,"N/A",697.07,1,true,true,true,true,true,19,"Licensed Physician",99213,"N/A",697.07,1]
[19,"Licensed Physician",99235,"N/A",2146.9699999999998,1,true,true,true,true,true,19,"Licensed Physician",99235,"N/A",2146.9699999999998,1]
[19,"Licensed Physician",99349,"N/A",1394.13,1,true,true,true,true,true,19,"Licensed Physician",99349,"N/A",1394.13,1]
[19,"Licensed Physician",99437,"N/A",836.48,1,true,true,true,true,true,19,"Licensed Physician",99437,"N/A",836.48,1]
[19,"Licensed Physician",99495,"N/A",1505.66,1,true,true,true,true,true,19,"Licensed Physician",99495,"N/A",1505.66,1]
[19,"Licensed Physician","H0003","N/A",418.24,1,true,true,true,true,true,19,"Licensed Physician","H0003","N/A",418.24,1]
[19,"Licensed Physician","H2017","N/A",418.24,1,true,true,true,true,true,19,"Licensed Physician","H2017","N/A",418.24,1]
[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",96170,"N/A",153.02000000000001,1,true,true,true,true,true,19,"Licensed Psychiatric Technician",96170,"N/A",153.02000000000001,1]
[19,"Licensed Psychiatric Technician","H0007","N/A",76.510000000000005,1,true,true,true,true,true,19,"Licensed Psychiatric Technician","H0007","N/A",76.510000000000005,1]
[19,"Licensed Psychiatric Technician","H2015","N/A",76.510000000000005,1,true,true,true,true,true,19,"Licensed Psychiatric Technician","H2015","N/A",76.510000000000005,1]
[19,"Licensed Psychiatric Technician","H2035","N/A",306.02999999999997,1,true,true,true,true,true,19,"Licensed Psychiatric Technician","H2035","N/A",306.02999999999997,1]
[19,"Licensed Vocational Nurse",97550,"N/A",136.84,1,true,true,true,true,true,19,"Licensed Vocational Nurse",97550,"N/A",136.84,1]
[19,"Licensed Vocational Nurse","H0033","N/A",89.25,1,true,true,true,true,true,19,"Licensed Vocational Nurse","H0033","N/A",89.25,1]
[19,"Licensed Vocational Nurse","H1000","N/A",89.25,1,true,true,true,true,true,19,"Licensed Vocational Nurse","H1000","N/A",89.25,1]
[19,"Licensed Vocational Nurse","T1017","N/A",89.25,1,true,true,true,true,true,19,"Licensed Vocational Nurse","T1017","N/A",89.25,1]
[19,"Medical Assistant","H2017","HQ",13.63,1,true,true,true,true,true,19,"Medical Assistant","H2017","HQ",13.63,1]
[19,"MFT/LPCC (Licensed, Waivered or Registered)",90885,"N/A",435.39,1,true,true,true,true,true,19,"MFT/LPCC (Licensed, Waivered or Registered)",90885,"N/A",435.39,1]
[19,"MFT/LPCC (Licensed, Waivered or Registered)",96171,"N/A",108.85,1,true,true,true,true,true,19,"MFT/LPCC (Licensed, Waivered or Registered)",96171,"N/A",108.85,1]
[19,"MFT/LPCC (Licensed, Waivered or Registered)","G2011","N/A",72.569999999999993,1,true,true,true,true,true,19,"MFT/LPCC (Licensed, Waivered or Registered)","G2011","N/A",72.569999999999993,1]
[19,"MFT/LPCC (Licensed, Waivered or Registered)","H1000","N/A",108.85,1,true,true,true,true,true,19,"MFT/LPCC (Licensed, Waivered or Registered)","H1000","N/A",108.85,1]
[19,"MFT/LPCC (Licensed, Waivered or Registered)","T1007","N/A",108.85,1,true,true,true,true,true,19,"MFT/LPCC (Licensed, Waivered or Registered)","T1007","N/A",108.85,1]
[19,"Nurse Practitioner",90847,"N/A",693.27,1,true,true,true,true,true,19,"Nurse Practitioner",90847,"N/A",693.27,1]
[19,"Nurse Practitioner",98966,"N/A",110.92,1,true,true,true,true,true,19,"Nurse Practitioner",98966,"N/A",110.92,1]
[19,"Nurse Practitioner",99205,"N/A",928.98,1,true,true,true,true,true,19,"Nurse Practitioner",99205,"N/A",928.98,1]
[19,"Nurse Practitioner",99342,"N/A",623.94000000000005,1,true,true,true,true,true,19,"Nurse Practitioner",99342,"N/A",623.94000000000005,1]
[19,"Nurse Practitioner",99415,"N/A",831.92,1,true,true,true,true,true,19,"Nurse Practitioner",99415,"N/A",831.92,1]
[19,"Nurse Practitioner",99495,"N/A",748.73,1,true,true,true,true,true,19,"Nurse Practitioner",99495,"N/A",748.73,1]
[19,"Nurse Practitioner","H0004","N/A",207.98,1,true,true,true,true,true,19,"Nurse Practitioner","H0004","N/A",207.98,1]
[19,"Nurse Practitioner","H0050","N/A",207.98,1,true,true,true,true,true,19,"Nurse Practitioner","H0050","N/A",207.98,1]
[19,"Nurse Practitioner","H2017","HQ",46.22,1,true,true,true,true,true,19,"Nurse Practitioner","H2017","HQ",46.22,1]
[19,"Nurse Practitioner","T2024","N/A",207.98,1,true,true,true,true,true,19,"Nurse Practitioner","T2024","N/A",207.98,1]
[19,"Occupational Therapist","H0033","N/A",144.9,1,true,true,true,true,true,19,"Occupational Therapist","H0033","N/A",144.9,1]
[19,"Occupational Therapist","H2014","N/A",144.9,1,true,true,true,true,true,19,"Occupational Therapist","H2014","N/A",144.9,1]
[19,"Occupational Therapist","T2024","N/A",144.9,1,true,true,true,true,true,19,"Occupational Therapist","T2024","N/A",144.9,1]
[19,"Other Qualified Practitioner","H2035","N/A",327.57,1,true,true,true,true,true,19,"Other Qualified Practitioner","H2035","N/A",327.57,1]
[19,"Physician Assistant",90847,"N/A",625.26,1,true,true,true,true,true,19,"Physician Assistant",90847,"N/A",625.26,1]
[19,"Physician Assistant",90889,"N/A",187.58,1,true,true,true,true,true,19,"Physician Assistant",90889,"N/A",187.58,1]
[19,"Physician Assistant",98967,"N/A",200.08,1,true,true,true,true,true,19,"Physician Assistant",98967,"N/A",200.08,1]
[19,"Physician Assistant",99305,"N/A",525.22,1,true,true,true,true,true,19,"Physician Assistant",99305,"N/A",525.22,1]
[19,"Physician Assistant",99415,"N/A",750.31,1,true,true,true,true,true,19,"Physician Assistant",99415,"N/A",750.31,1]
[19,"Physician Assistant",99441,"N/A",100.04,1,true,true,true,true,true,19,"Physician Assistant",99441,"N/A",100.04,1]
[19,"Physician Assistant","G0540","N/A",187.58,1,true,true,true,true,true,19,"Physician Assistant","G0540","N/A",187.58,1]
[19,"Physician Assistant","H0033","N/A",187.58,1,true,true,true,true,true,19,"Physician Assistant","H0033","N/A",187.58,1]
[19,"Physician Assistant","T1007","N/A",187.58,1,true,true,true,true,true,19,"Physician Assistant","T1007","N/A",187.58,1]
[19,"Physician Assistant","T2021",22,190.59,1,true,true,true,true,true,19,"Physician Assistant","T2021",22,190.59,1]
[19,"Psychologist (Licensed or Waivered)",90885,"N/A",672.81,1,true,true,true,true,true,19,"Psychologist (Licensed or Waivered)",90885,"N/A",672.81,1]
[19,"Psychologist (Licensed or Waivered)","G0541","N/A",257.91000000000003,1,true,true,true,true,true,19,"Psychologist (Licensed or Waivered)","G0541","N/A",257.91000000000003,1]
[19,"Psychologist (Licensed or Waivered)","H2014","N/A",168.2,1,true,true,true,true,true,19,"Psychologist (Licensed or Waivered)","H2014","N/A",168.2,1]
[19,"Psychologist (Licensed or Waivered)","T1007","N/A",168.2,1,true,true,true,true,true,19,"Psychologist (Licensed or Waivered)","T1007","N/A",168.2,1]
[19,"Registered Nurse",97550,"N/A",260.49,1,true,true,true,true,true,19,"Registered Nurse",97550,"N/A",260.49,1]
[19,"Registered Nurse",99437,"N/A",339.77,1,true,true,true,true,true,19,"Registered Nurse",99437,"N/A",339.77,1]
[19,"Registered Nurse","H0001","N/A",169.88,1,true,true,true,true,true,19,"Registered Nurse","H0001","N/A",169.88,1]
[19,"Registered Nurse","H0049","N/A",169.88,1,true,true,true,true,true,19,"Registered Nurse","H0049","N/A",169.88,1]
[19,"Registered Pharmacist",90887,"N/A",667.34,1,true,true,true,true,true,19,"Registered Pharmacist",90887,"N/A",667.34,1]
[19,"Registered Pharmacist","G0397","N/A",800.81,1,true,true,true,true,true,19,"Registered Pharmacist","G0397","N/A",800.81,1]
[19,"Registered Pharmacist","H2021","N/A",200.2,1,true,true,true,true,true,19,"Registered Pharmacist","H2021","N/A",200.2,1]
[21,"Certified AOD Counselor","H0004","N/A",98.2,1,true,true,true,true,true,21,"Certified AOD Counselor","H0004","N/A",98.2,1]
[21,"Certified AOD Counselor","H2021","N/A",98.2,1,true,true,true,true,true,21,"Certified AOD Counselor","H2021","N/A",98.2,1]
[21,"LCSW (Licensed, Waivered or Registered)",90785,"N/A",18.89,1,true,true,true,true,true,21,"LCSW (Licensed, Waivered or Registered)",90785,"N/A",18.89,1]
[21,"LCSW (Licensed, Waivered or Registered)",90889,"N/A",118.39,1,true,true,true,true,true,21,"LCSW (Licensed, Waivered or Registered)",90889,"N/A",118.39,1]
[21,"LCSW (Licensed, Waivered or Registered)",98966,"N/A",63.14,1,true,true,true,true,true,21,"LCSW (Licensed, Waivered or Registered)",98966,"N/A",63.14,1]
[21,"LCSW (Licensed, Waivered or Registered)","H0050","N/A",118.39,1,true,true,true,true,true,21,"LCSW (Licensed, Waivered or Registered)","H0050","N/A",118.39,1]
[21,"LCSW (Licensed, Waivered or Registered)","H2014","HQ",26.31,1,true,true,true,true,true,21,"LCSW (Licensed, Waivered or Registered)","H2014","HQ",26.31,1]
[21,"LCSW (Licensed, Waivered or Registered)","T2024","N/A",118.39,1,true,true,true,true,true,21,"LCSW (Licensed, Waivered or Registered)","T2024","N/A",118.39,1]
[21,"Licensed Physician",90865,"N/A",2729.39,1,true,true,true,true,true,21,"Licensed Physician",90865,"N/A",2729.39,1]
[21,"Licensed Physician",99214,"N/A",1061.43,1,true,true,true,true,true,21,"Licensed Physician",99214,"N/A",1061.43,1]
[21,"Licensed Physician",99239,"N/A",1819.59,1,true,true,true,true,true,21,"Licensed Physician",99239,"N/A",1819.59,1]
[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",99443,"N/A",788.49,1,true,true,true,true,true,21,"Licensed Physician",99443,"N/A",788.49,1]
[21,"Licensed Physician","G0541","N/A",697.51,1,true,true,true,true,true,21,"Licensed Physician","G0541","N/A",697.51,1]
[21,"Licensed Physician","H0003","N/A",454.9,1,true,true,true,true,true,21,"Licensed Physician","H0003","N/A",454.9,1]
[21,"Licensed Physician","H2027","N/A",454.9,1,true,true,true,true,true,21,"Licensed Physician","H2027","N/A",454.9,1]
[21,"Licensed Physician","T1006","N/A",454.9,1,true,true,true,true,true,21,"Licensed Physician","T1006","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","H0033","N/A",83.21,1,true,true,true,true,true,21,"Licensed Psychiatric Technician","H0033","N/A",83.21,1]
[21,"Licensed Psychiatric Technician","H2015","N/A",83.21,1,true,true,true,true,true,21,"Licensed Psychiatric Technician","H2015","N/A",83.21,1]
[21,"Licensed Psychiatric Technician","T1017","N/A",83.21,1,true,true,true,true,true,21,"Licensed Psychiatric Technician","T1017","N/A",83.21,1]
[21,"Licensed Vocational Nurse","G0397","N/A",388.27,1,true,true,true,true,true,21,"Licensed Vocational Nurse","G0397","N/A",388.27,1]
[21,"Licensed Vocational Nurse","H0048","N/A",97.07,1,true,true,true,true,true,21,"Licensed Vocational Nurse","H0048","N/A",97.07,1]
[21,"Licensed Vocational Nurse","H2015","N/A",97.07,1,true,true,true,true,true,21,"Licensed Vocational Nurse","H2015","N/A",97.07,1]
[21,"Licensed Vocational Nurse","T1017","N/A",97.07,1,true,true,true,true,true,21,"Licensed Vocational Nurse","T1017","N/A",97.07,1]
[21,"Medical Assistant","T1013","N/A",31.88,1,true,true,true,true,true,21,"Medical Assistant","T1013","N/A",31.88,1]
[21,"MFT/LPCC (Licensed, Waivered or Registered)",96170,"N/A",236.78,1,true,true,true,true,true,21,"MFT/LPCC (Licensed, Waivered or Registered)",96170,"N/A",236.78,1]
[21,"MFT/LPCC (Licensed, Waivered or Registered)",97550,"N/A",181.53,1,true,true,true,true,true,21,"MFT/LPCC (Licensed, Waivered or Registered)",97550,"N/A",181.53,1]
[21,"MFT/LPCC (Licensed, Waivered or Registered)","H0005","N/A",26.31,1,true,true,true,true,true,21,"MFT/LPCC (Licensed, Waivered or Registered)","H0005","N/A",26.31,1]
[21,"MFT/LPCC (Licensed, Waivered or Registered)","H2017","N/A",118.39,1,true,true,true,true,true,21,"MFT/LPCC (Licensed, Waivered or Registered)","H2017","N/A",118.39,1]
[21,"MFT/LPCC (Licensed, Waivered or Registered)","T2021","N/A",118.39,1,true,true,true,true,true,21,"MFT/LPCC (Licensed, Waivered or Registered)","T2021","N/A",118.39,1]
[21,"Nurse Practitioner",96202,"N/A",201.08,1,true,true,true,true,true,21,"Nurse Practitioner",96202,"N/A",201.08,1]
[21,"Nurse Practitioner",99202,"N/A",331.77,1,true,true,true,true,true,21,"Nurse Practitioner",99202,"N/A",331.77,1]
[21,"Nurse Practitioner",99214,"N/A",527.82000000000005,1,true,true,true,true,true,21,"Nurse Practitioner",99214,"N/A",527.82000000000005,1]
[21,"Nurse Practitioner",99348,"N/A",527.82000000000005,1,true,true,true,true,true,21,"Nurse Practitioner",99348,"N/A",527.82000000000005,1]
[21,"Nurse Practitioner",99418,"N/A",226.21,1,true,true,true,true,true,21,"Nurse Practitioner",99418,"N/A",226.21,1]
[21,"Nurse Practitioner",99495,"N/A",814.36,1,true,true,true,true,true,21,"Nurse Practitioner",99495,"N/A",814.36,1]
[21,"Nurse Practitioner","G0543","N/A",150.81,1,true,true,true,true,true,21,"Nurse Practitioner","G0543","N/A",150.81,1]
[21,"Nurse Practitioner","H2014","HQ",50.27,1,true,true,true,true,true,21,"Nurse Practitioner","H2014","HQ",50.27,1]
[21,"Occupational Therapist",90785,"N/A",18.89,1,true,true,true,true,true,21,"Occupational Therapist",90785,"N/A",18.89,1]
[21,"Occupational Therapist",90887,"N/A",525.30999999999995,1,true,true,true,true,true,21,"Occupational Therapist",90887,"N/A",525.30999999999995,1]
[21,"Occupational Therapist","H0033","N/A",157.59,1,true,true,true,true,true,21,"Occupational Therapist","H0033","N/A",157.59,1]
[21,"Occupational Therapist","T1007","N/A",157.59,1,true,true,true,true,true,21,"Occupational Therapist","T1007","N/A",157.59,1]
[21,"Other Qualified Practitioner","G0396","N/A",136.57,1,true,true,true,true,true,21,"Other Qualified Practitioner","G0396","N/A",136.57,1]
[21,"Other Qualified Practitioner","H2035","N/A",356.28,1,true,true,true,true,true,21,"Other Qualified Practitioner","H2035","N/A",356.28,1]
[21,"Physician Assistant",90882,"N/A",204.02,1,true,true,true,true,true,21,"Physician Assistant",90882,"N/A",204.02,1]
[21,"Physician Assistant",96170,"N/A",408.04,1,true,true,true,true,true,21,"Physician Assistant",96170,"N/A",408.04,1]
[21,"Physician Assistant",99202,"N/A",299.23,1,true,true,true,true,true,21,"Physician Assistant",99202,"N/A",299.23,1]
[21,"Physician Assistant",99308,"N/A",340.03,1,true,true,true,true,true,21,"Physician Assistant",99308,"N/A",340.03,1]
[21,"Physician Assistant",99415,"N/A",816.08,1,true,true,true,true,true,21,"Physician Assistant",99415,"N/A",816.08,1]
[21,"Physician Assistant",99418,"N/A",204.02,1,true,true,true,true,true,21,"Physician Assistant",99418,"N/A",204.02,1]
[21,"Physician Assistant","G0543","N/A",136.01,1,true,true,true,true,true,21,"Physician Assistant","G0543","N/A",136.01,1]
[21,"Physician Assistant","H0033","N/A",204.02,1,true,true,true,true,true,21,"Physician Assistant","H0033","N/A",204.02,1]
[21,"Physician Assistant","H2014","HQ",45.34,1,true,true,true,true,true,21,"Physician Assistant","H2014","HQ",45.34,1]
[21,"Physician Assistant","T2021",22,207.03,1,true,true,true,true,true,21,"Physician Assistant","T2021",22,207.03,1]
[21,"Psychologist (Licensed or Waivered)",96171,"N/A",182.95,1,true,true,true,true,true,21,"Psychologist (Licensed or Waivered)",96171,"N/A",182.95,1]
[21,"Psychologist (Licensed or Waivered)",98966,"N/A",97.57,1,true,true,true,true,true,21,"Psychologist (Licensed or Waivered)",98966,"N/A",97.57,1]
[21,"Psychologist (Licensed or Waivered)","H2014","N/A",182.95,1,true,true,true,true,true,21,"Psychologist (Licensed or Waivered)","H2014","N/A",182.95,1]
[21,"Psychologist (Licensed or Waivered)","T2021","N/A",182.95,1,true,true,true,true,true,21,"Psychologist (Licensed or Waivered)","T2021","N/A",182.95,1]
[21,"Registered Nurse",97550,"N/A",283.32,1,true,true,true,true,true,21,"Registered Nurse",97550,"N/A",283.32,1]
[21,"Registered Nurse","G0397","N/A",739.09,1,true,true,true,true,true,21,"Registered Nurse","G0397","N/A",739.09,1]
[21,"Registered Nurse","H0005","N/A",41.06,1,true,true,true,true,true,21,"Registered Nurse","H0005","N/A",41.06,1]
[21,"Registered Nurse","H0049","N/A",184.77,1,true,true,true,true,true,21,"Registered Nurse","H0049","N/A",184.77,1]
[21,"Registered Pharmacist","G0396","N/A",333.88,1,true,true,true,true,true,21,"Registered Pharmacist","G0396","N/A",333.88,1]
[21,"Registered Pharmacist","G0397","N/A",870.99,{"$f":"IF(C6729=\"G0323\",9,1)","v":1},true,true,true,true,true,21,"Registered Pharmacist","G0397","N/A",870.99,{"$f":"IF(OR(N6729=\"H0036\",N6729=\"G0323\"),9,1)","v":1}]
[21,"Registered Pharmacist","H0034","N/A",217.75,1,true,true,true,true,true,21,"Registered Pharmacist","H0034","N/A",217.75,1]
[22,"Certified AOD Counselor","H0049","N/A",118.63,1,true,true,true,true,true,22,"Certified AOD Counselor","H0049","N/A",118.63,1]
[22,"Certified AOD Counselor","H2021","N/A",118.63,1,true,true,true,true,true,22,"Certified AOD Counselor","H2021","N/A",118.63,1]
[22,"Community Health Worker",98961,"N/A",69.28,1,true,true,true,true,true,22,"Community Health Worker",98961,"N/A",69.28,1]
[22,"LCSW (Licensed, Waivered or Registered)",90889,"N/A",150.16999999999999,1,true,true,true,true,true,22,"LCSW (Licensed, Waivered or Registered)",90889,"N/A",150.16999999999999,1]
[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,"LCSW (Licensed, Waivered or Registered)","H0004","N/A",150.16999999999999,1,true,true,true,true,true,22,"LCSW (Licensed, Waivered or Registered)","H0004","N/A",150.16999999999999,1]
[22,"LCSW (Licensed, Waivered or Registered)","H2014","HQ",33.369999999999997,1,true,true,true,true,true,22,"LCSW (Licensed, Waivered or Registered)","H2014","HQ",33.369999999999997,1]
[22,"Licensed Physician",90792,"N/A",2071.23,1,true,true,true,true,true,22,"Licensed Physician",90792,"N/A",2071.23,1]
[22,"Licensed Physician",97550,"N/A",793.97,1,true,true,true,true,true,22,"Licensed Physician",97550,"N/A",793.97,1]
[22,"Licensed Physician",99235,"N/A",2658.08,1,true,true,true,true,true,22,"Licensed Physician",99235,"N/A",2658.08,1]
[22,"Licensed Physician",99310,"N/A",1795.07,1,true,true,true,true,true,22,"Licensed Physician",99310,"N/A",1795.07,1]
[22,"Licensed Physician",99349,"N/A",1726.03,1,true,true,true,true,true,22,"Licensed Physician",99349,"N/A",1726.03,1]
[22,"Licensed Physician",99495,"N/A",1864.11,1,true,true,true,true,true,22,"Licensed Physician",99495,"N/A",1864.11,1]
[22,"Licensed Physician","G0397","N/A",2071.23,1,true,true,true,true,true,22,"Licensed Physician","G0397","N/A",2071.23,1]
[22,"Licensed Physician","H0009","N/A",517.80999999999995,1,true,true,true,true,true,22,"Licensed Physician","H0009","N/A",517.80999999999995,1]
[22,"Licensed Physician","H2015","N/A",517.80999999999995,1,true,true,true,true,true,22,"Licensed Physician","H2015","N/A",517.80999999999995,1]
[22,"Licensed Psychiatric Technician",96170,"N/A",189.44,1,true,true,true,true,true,22,"Licensed Psychiatric Technician",96170,"N/A",189.44,1]
[22,"Licensed Psychiatric Technician",97552,"N/A",63.15,1,true,true,true,true,true,22,"Licensed Psychiatric Technician",97552,"N/A",63.15,1]
[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 Psychiatric Technician","H2035","N/A",378.88,1,true,true,true,true,true,22,"Licensed Psychiatric Technician","H2035","N/A",378.88,1]
[22,"Licensed Vocational Nurse",90889,"N/A",110.49,1,true,true,true,true,true,22,"Licensed Vocational Nurse",90889,"N/A",110.49,1]
[22,"Licensed Vocational Nurse","G0397","N/A",441.96,1,true,true,true,true,true,22,"Licensed Vocational Nurse","G0397","N/A",441.96,1]
[22,"Licensed Vocational Nurse","H1000","N/A",110.49,1,true,true,true,true,true,22,"Licensed Vocational Nurse","H1000","N/A",110.49,1]
[22,"Licensed Vocational Nurse","T1013","N/A",31.88,1,true,true,true,true,true,22,"Licensed Vocational Nurse","T1013","N/A",31.88,1]
[22,"Medical Assistant","H0048","N/A",84.64,1,true,true,true,true,true,22,"Medical Assistant","H0048","N/A",84.64,1]
[22,"MFT/LPCC (Licensed, Waivered or Registered)",90785,"N/A",18.89,1,true,true,true,true,true,22,"MFT/LPCC (Licensed, Waivered or Registered)",90785,"N/A",18.89,1]
[22,"MFT/LPCC (Licensed, Waivered or Registered)",96170,"N/A",300.33,1,true,true,true,true,true,22,"MFT/LPCC (Licensed, Waivered or Registered)",96170,"N/A",300.33,1]
[22,"MFT/LPCC (Licensed, Waivered or Registered)",98966,"N/A",80.09,1,true,true,true,true,true,22,"MFT/LPCC (Licensed, Waivered or Registered)",98966,"N/A",80.09,1]
[22,"MFT/LPCC (Licensed, Waivered or Registered)","H0050","N/A",150.16999999999999,1,true,true,true,true,true,22,"MFT/LPCC (Licensed, Waivered or Registered)","H0050","N/A",150.16999999999999,1]
[22,"MFT/LPCC (Licensed, Waivered or Registered)","H2017","N/A",150.16999999999999,1,true,true,true,true,true,22,"MFT/LPCC (Licensed, Waivered or Registered)","H2017","N/A",150.16999999999999,1]
[22,"MFT/LPCC (Licensed, Waivered or Registered)","T2024","N/A",150.16999999999999,1,true,true,true,true,true,22,"MFT/LPCC (Licensed, Waivered or Registered)","T2024","N/A",150.16999999999999,1]
[22,"Nurse Practitioner",90885,"N/A",1147.7,1,true,true,true,true,true,22,"Nurse Practitioner",90885,"N/A",1147.7,1]
[22,"Nurse Practitioner",99205,"N/A",1281.5999999999999,1,true,true,true,true,true,22,"Nurse Practitioner",99205,"N/A",1281.5999999999999,1]
[22,"Nurse Practitioner",99235,"N/A",1472.88,1,true,true,true,true,true,22,"Nurse Practitioner",99235,"N/A",1472.88,1]
[22,"Nurse Practitioner",99348,"N/A",669.49,1,true,true,true,true,true,22,"Nurse Practitioner",99348,"N/A",669.49,1]
[22,"Nurse Practitioner",99437,"N/A",573.85,1,true,true,true,true,true,22,"Nurse Practitioner",99437,"N/A",573.85,1]
[22,"Nurse Practitioner","G0397","N/A",1147.7,1,true,true,true,true,true,22,"Nurse Practitioner","G0397","N/A",1147.7,1]
[22,"Nurse Practitioner","H0003","N/A",286.93,1,true,true,true,true,true,22,"Nurse Practitioner","H0003","N/A",286.93,1]
[22,"Nurse Practitioner","H2017","HQ",63.76,1,true,true,true,true,true,22,"Nurse Practitioner","H2017","HQ",63.76,1]
[22,"Nurse Practitioner","T1006","N/A",286.93,1,true,true,true,true,true,22,"Nurse Practitioner","T1006","N/A",286.93,1]
[22,"Occupational Therapist",96170,"N/A",358.78,1,true,true,true,true,true,22,"Occupational Therapist",96170,"N/A",358.78,1]
[22,"Occupational Therapist","H0033","N/A",179.39,1,true,true,true,true,true,22,"Occupational Therapist","H0033","N/A",179.39,1]
[22,"Occupational Therapist","T2024","N/A",179.39,1,true,true,true,true,true,22,"Occupational Therapist","T2024","N/A",179.39,1]
[22,"Other Qualified Practitioner","H0001","N/A",101.39,1,true,true,true,true,true,22,"Other Qualified Practitioner","H0001","N/A",101.39,1]
[22,"Peer Support Specialists","H0025","N/A",25.11,1,true,true,true,true,true,22,"Peer Support Specialists","H0025","N/A",25.11,1]
[22,"Physician Assistant",90889,"N/A",258.77999999999997,1,true,true,true,true,true,22,"Physician Assistant",90889,"N/A",258.77999999999997,1]
[22,"Physician Assistant",96170,"N/A",517.55999999999995,1,true,true,true,true,true,22,"Physician Assistant",96170,"N/A",517.55999999999995,1]
[22,"Physician Assistant",99205,"N/A",1155.8800000000001,1,true,true,true,true,true,22,"Physician Assistant",99205,"N/A",1155.8800000000001,1]
[22,"Physician Assistant",99341,"N/A",379.54,1,true,true,true,true,true,22,"Physician Assistant",99341,"N/A",379.54,1]
[22,"Physician Assistant",99415,"N/A",1035.1199999999999,1,true,true,true,true,true,22,"Physician Assistant",99415,"N/A",1035.1199999999999,1]
[22,"Physician Assistant",99437,"N/A",517.55999999999995,1,true,true,true,true,true,22,"Physician Assistant",99437,"N/A",517.55999999999995,1]
[22,"Physician Assistant","G2011","N/A",172.52,1,true,true,true,true,true,22,"Physician Assistant","G2011","N/A",172.52,1]
[22,"Physician Assistant","H0050","N/A",258.77999999999997,1,true,true,true,true,true,22,"Physician Assistant","H0050","N/A",258.77999999999997,1]
[22,"Physician Assistant","H2017","HQ",57.51,1,true,true,true,true,true,22,"Physician Assistant","H2017","HQ",57.51,1]
[22,"Physician Assistant","T2021",22,261.79000000000002,1,true,true,true,true,true,22,"Physician Assistant","T2021",22,261.79000000000002,1]
[22,"Psychologist (Licensed or Waivered)",97550,"N/A",355.81,1,true,true,true,true,true,22,"Psychologist (Licensed or Waivered)",97550,"N/A",355.81,1]
[22,"Psychologist (Licensed or Waivered)",99368,"N/A",928.19,1,true,true,true,true,true,22,"Psychologist (Licensed or Waivered)",99368,"N/A",928.19,1]
[22,"Psychologist (Licensed or Waivered)","T1006","N/A",232.05,1,true,true,true,true,true,22,"Psychologist (Licensed or Waivered)","T1006","N/A",232.05,1]
[22,"Psychologist (Licensed or Waivered)","T2024","N/A",232.05,1,true,true,true,true,true,22,"Psychologist (Licensed or Waivered)","T2024","N/A",232.05,1]
[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",99425,"N/A",468.74,1,true,true,true,true,true,22,"Registered Nurse",99425,"N/A",468.74,1]
[22,"Registered Nurse","H0009","N/A",234.37,1,true,true,true,true,true,22,"Registered Nurse","H0009","N/A",234.37,1]
[22,"Registered Nurse","H0049","N/A",234.37,1,true,true,true,true,true,22,"Registered Nurse","H0049","N/A",234.37,1]
[22,"Registered Pharmacist",90785,"N/A",18.89,1,true,true,true,true,true,22,"Registered Pharmacist",90785,"N/A",18.89,1]
[22,"Registered Pharmacist","H0034","N/A",276.19,1,{"$f":"EXACT(A7491,L7491)","v":true},{"$f":"EXACT(B7491,M7491)","v":true},{"$f":"EXACT(C7491,N7491)","v":true},{"$f":"EXACT(D7491,O7491)","v":true},{"$f":"EXACT(E7491,P7491)","v":true},22,"Registered Pharmacist","H0034","N/A",276.19,1]
[22,"Registered Pharmacist","H2017","HQ",61.38,1,true,true,true,true,true,22,"Registered Pharmacist","H2017","HQ",61.38,1]
[24,"Certified AOD Counselor",90882,"N/A",89.01,1,true,true,true,true,true,24,"Certified AOD Counselor",90882,"N/A",89.01,1]
[24,"Certified AOD Counselor","H2021","N/A",89.01,1,true,true,true,true,true,24,"Certified AOD Counselor","H2021","N/A",89.01,1]
[24,"Community Health Worker","G0022","N/A",165.51,1,true,true,true,true,true,24,"Community Health Worker","G0022","N/A",165.51,1]
[24,"LCSW (Licensed, Waivered or Registered)",90889,"N/A",107.31,1,true,true,true,true,true,24,"LCSW (Licensed, Waivered or Registered)",90889,"N/A",107.31,1]
[24,"LCSW (Licensed, Waivered or Registered)","G0543","N/A",71.540000000000006,1,true,true,true,true,true,24,"LCSW (Licensed, Waivered or Registered)","G0543","N/A",71.540000000000006,1]
[24,"LCSW (Licensed, Waivered or Registered)","H0049","N/A",107.31,1,true,true,true,true,true,24,"LCSW (Licensed, Waivered or Registered)","H0049","N/A",107.31,1]
[24,"LCSW (Licensed, Waivered or Registered)","T2021","HQ",23.85,1,true,true,true,true,true,24,"LCSW (Licensed, Waivered or Registered)","T2021","HQ",23.85,1]
[24,"Licensed Physician",90887,"N/A",1374.4,1,true,true,true,true,true,24,"Licensed Physician",90887,"N/A",1374.4,1]
[24,"Licensed Physician",97550,"N/A",632.22,1,true,true,true,true,true,24,"Licensed Physician",97550,"N/A",632.22,1]
[24,"Licensed Physician",99203,"N/A",1017.06,1,true,true,true,true,true,24,"Licensed Physician",99203,"N/A",1017.06,1]
[24,"Licensed Physician",99344,"N/A",1841.7,1,true,true,true,true,true,24,"Licensed Physician",99344,"N/A",1841.7,1]
[24,"Licensed Physician",99349,"N/A",1374.4,1,true,true,true,true,true,24,"Licensed Physician",99349,"N/A",1374.4,1]
[24,"Licensed Physician",99442,"N/A",439.81,1,true,true,true,true,true,24,"Licensed Physician",99442,"N/A",439.81,1]
[24,"Licensed Physician","G0397","N/A",1649.28,1,true,true,true,true,true,24,"Licensed Physician","G0397","N/A",1649.28,1]
[24,"Licensed Physician","H0034","HQ",91.63,1,true,true,true,true,true,24,"Licensed Physician","H0034","HQ",91.63,1]
[24,"Licensed Physician","H2021","N/A",412.32,1,true,true,true,true,true,24,"Licensed Physician","H2021","N/A",412.32,1]
[24,"Licensed Psychiatric Technician",96170,"N/A",150.85,1,true,true,true,true,true,24,"Licensed Psychiatric Technician",96170,"N/A",150.85,1]
[24,"Licensed Psychiatric Technician","G0539","N/A",115.65,1,true,true,true,true,true,24,"Licensed Psychiatric Technician","G0539","N/A",115.65,1]
[24,"Licensed Psychiatric Technician","H0034","N/A",75.430000000000007,1,true,true,true,true,true,24,"Licensed Psychiatric Technician","H0034","N/A",75.430000000000007,1]
[24,"Licensed Psychiatric Technician","T1017","N/A",75.430000000000007,1,true,true,true,true,true,24,"Licensed Psychiatric Technician","T1017","N/A",75.430000000000007,1]
[24,"Licensed Vocational Nurse",97551,"N/A",87.98,1,true,true,true,true,true,24,"Licensed Vocational Nurse",97551,"N/A",87.98,1]
[24,"Licensed Vocational Nurse","G0397","N/A",351.92,1,true,true,true,true,true,24,"Licensed Vocational Nurse","G0397","N/A",351.92,1]
[24,"Licensed Vocational Nurse","H2015","N/A",87.98,1,true,true,true,true,true,24,"Licensed Vocational Nurse","H2015","N/A",87.98,1]
[24,"Medical Assistant",96170,"N/A",120.96,1,true,true,true,true,true,24,"Medical Assistant",96170,"N/A",120.96,1]
[24,"Medical Assistant","H0033","N/A",60.48,1,true,true,true,true,true,24,"Medical Assistant","H0033","N/A",60.48,1]
[24,"Medical Assistant","H2027","N/A",60.48,1,true,true,true,true,true,24,"Medical Assistant","H2027","N/A",60.48,1]
[24,"MFT/LPCC (Licensed, Waivered or Registered)",96170,"N/A",214.62,1,true,true,true,true,true,24,"MFT/LPCC (Licensed, Waivered or Registered)",96170,"N/A",214.62,1]
[24,"MFT/LPCC (Licensed, Waivered or Registered)",99368,"N/A",429.23,1,true,true,true,true,true,24,"MFT/LPCC (Licensed, Waivered or Registered)",99368,"N/A",429.23,1]
[24,"MFT/LPCC (Licensed, Waivered or Registered)","H0004","N/A",107.31,1,true,true,true,true,true,24,"MFT/LPCC (Licensed, Waivered or Registered)","H0004","N/A",107.31,1]
[24,"MFT/LPCC (Licensed, Waivered or Registered)","H2017","N/A",107.31,1,true,true,true,true,true,24,"MFT/LPCC (Licensed, Waivered or Registered)","H2017","N/A",107.31,1]
[24,"Nurse Practitioner",90792,"N/A",820.14,1,true,true,true,true,true,24,"Nurse Practitioner",90792,"N/A",820.14,1]
[24,"Nurse Practitioner",97552,"N/A",136.69,1,true,true,true,true,true,24,"Nurse Practitioner",97552,"N/A",136.69,1]
[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",99307,"N/A",205.04,1,true,true,true,true,true,24,"Nurse Practitioner",99307,"N/A",205.04,1]
[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",99443,"N/A",355.39,1,true,true,true,true,true,24,"Nurse Practitioner",99443,"N/A",355.39,1]
[24,"Nurse Practitioner","G0397","N/A",820.14,1,true,true,true,true,true,24,"Nurse Practitioner","G0397","N/A",820.14,1]
[24,"Nurse Practitioner","H0007","N/A",205.04,1,true,true,true,true,true,24,"Nurse Practitioner","H0007","N/A",205.04,1]
[24,"Nurse Practitioner","H2014","N/A",205.04,1,{"$f":"EXACT(A7939,L7939)","v":true},{"$f":"EXACT(B7939,M7939)","v":true},{"$f":"EXACT(C7939,N7939)","v":true},{"$f":"EXACT(D7939,O7939)","v":true},{"$f":"EXACT(E7939,P7939)","v":true},24,"Nurse Practitioner","H2014","N/A",205.04,1]
[24,"Occupational Therapist",96160,"N/A",142.84,1,true,true,true,true,true,24,"Occupational Therapist",96160,"N/A",142.84,1]
[24,"Occupational Therapist",96203,"N/A",31.74,1,true,true,true,true,true,24,"Occupational Therapist",96203,"N/A",31.74,1]
[24,"Occupational Therapist","H2015","N/A",142.84,1,true,true,true,true,true,24,"Occupational Therapist","H2015","N/A",142.84,1]
[24,"Other Qualified Practitioner","G0396","N/A",123.79,1,true,true,true,true,true,24,"Other Qualified Practitioner","G0396","N/A",123.79,1]
[24,"Other Qualified Practitioner","H1000","N/A",80.73,1,true,true,true,true,true,24,"Other Qualified Practitioner","H1000","N/A",80.73,1]
[24,"Peer Support Specialists","H0025","N/A",18.84,{"$f":"IF(C8009=\"G0323\",9,1)","v":1},true,true,true,true,true,24,"Peer Support Specialists","H0025","N/A",18.84,{"$f":"IF(OR(N8009=\"H0036\",N8009=\"G0323\"),9,1)","v":1}]
[24,"Physician Assistant",96160,"N/A",184.92,1,true,true,true,true,true,24,"Physician Assistant",96160,"N/A",184.92,1]
[24,"Physician Assistant",97550,"N/A",283.55,1,true,true,true,true,true,24,"Physician Assistant",97550,"N/A",283.55,1]
[24,"Physician Assistant",99214,"N/A",431.49,1,true,true,true,true,true,24,"Physician Assistant",99214,"N/A",431.49,1]
[24,"Physician Assistant",99345,"N/A",1010.91,1,true,true,true,true,true,24,"Physician Assistant",99345,"N/A",1010.91,1]
[24,"Physician Assistant",99424,"N/A",369.85,1,true,true,true,true,true,24,"Physician Assistant",99424,"N/A",369.85,1]
[24,"Physician Assistant",99443,"N/A",320.52999999999997,1,true,true,true,true,true,24,"Physician Assistant",99443,"N/A",320.52999999999997,1]
[24,"Physician Assistant","G2011","N/A",123.28,1,true,true,true,true,true,24,"Physician Assistant","G2011","N/A",123.28,1]
[24,"Physician Assistant","H2014","HQ",41.09,1,true,true,true,true,true,24,"Physician Assistant","H2014","HQ",41.09,1]
[24,"Physician Assistant","H2035","N/A",739.69,1,true,true,true,true,true,24,"Physician Assistant","H2035","N/A",739.69,1]
[24,"Psychologist (Licensed or Waivered)",90846,"N/A",552.73,1,true,true,true,true,true,24,"Psychologist (Licensed or Waivered)",90846,"N/A",552.73,1]
[24,"Psychologist (Licensed or Waivered)",98966,"N/A",88.44,1,true,true,true,true,true,24,"Psychologist (Licensed or Waivered)",98966,"N/A",88.44,1]
[24,"Psychologist (Licensed or Waivered)","H0001","N/A",165.82,1,true,true,true,true,true,24,"Psychologist (Licensed or Waivered)","H0001","N/A",165.82,1]
[24,"Psychologist (Licensed or Waivered)","H0049","N/A",165.82,1,true,true,true,true,true,24,"Psychologist (Licensed or Waivered)","H0049","N/A",165.82,1]
[24,"Registered Nurse",90887,"N/A",558.26,1,true,true,true,true,true,24,"Registered Nurse",90887,"N/A",558.26,1]
[24,"Registered Nurse",99239,"N/A",669.91,1,true,true,true,true,true,24,"Registered Nurse",99239,"N/A",669.91,1]
[24,"Registered Nurse","G0396","N/A",256.8,1,true,true,true,true,true,24,"Registered Nurse","G0396","N/A",256.8,1]
[24,"Registered Nurse","H0005","N/A",37.22,1,true,true,true,true,true,24,"Registered Nurse","H0005","N/A",37.22,1]
[24,"Registered Nurse","T1013","N/A",31.88,1,true,true,true,true,true,24,"Registered Nurse","T1013","N/A",31.88,1]
[24,"Registered Pharmacist",96203,"N/A",43.86,1,true,true,true,true,true,24,"Registered Pharmacist",96203,"N/A",43.86,1]
[24,"Registered Pharmacist","H0034","N/A",197.37,1,true,true,true,true,true,24,"Registered Pharmacist","H0034","N/A",197.37,1]
[24,"Registered Pharmacist","T1013","N/A",31.88,1,true,true,true,true,true,24,"Registered Pharmacist","T1013","N/A",31.88,1]
[27,"Certified AOD Counselor","G2011","N/A",56.94,1,true,true,true,true,true,27,"Certified AOD Counselor","G2011","N/A",56.94,1]
[27,"Certified AOD Counselor","T1007","N/A",85.41,1,true,true,true,true,true,27,"Certified AOD Counselor","T1007","N/A",85.41,1]
[27,"LCSW (Licensed, Waivered or Registered)",90846,"N/A",343.24,1,true,true,true,true,true,27,"LCSW (Licensed, Waivered or Registered)",90846,"N/A",343.24,1]
[27,"LCSW (Licensed, Waivered or Registered)",90889,"N/A",102.97,1,true,true,true,true,true,27,"LCSW (Licensed, Waivered or Registered)",90889,"N/A",102.97,1]
[27,"LCSW (Licensed, Waivered or Registered)",98968,"N/A",178.49,1,true,true,true,true,true,27,"LCSW (Licensed, Waivered or Registered)",98968,"N/A",178.49,1]
[27,"LCSW (Licensed, Waivered or Registered)","H2014","N/A",102.97,1,true,true,true,true,true,27,"LCSW (Licensed, Waivered or Registered)","H2014","N/A",102.97,1]
[27,"LCSW (Licensed, Waivered or Registered)","T2021","HQ",22.88,1,true,true,true,true,true,27,"LCSW (Licensed, Waivered or Registered)","T2021","HQ",22.88,1]
[27,"Licensed Physician",90791,"N/A",1582.64,1,true,true,true,true,true,27,"Licensed Physician",90791,"N/A",1582.64,1]
[27,"Licensed Physician",97550,"N/A",606.67999999999995,1,true,true,true,true,true,27,"Licensed Physician",97550,"N/A",606.67999999999995,1]
[27,"Licensed Physician",99234,"N/A",1503.51,1,true,true,true,true,true,27,"Licensed Physician",99234,"N/A",1503.51,1]
[27,"Licensed Physician",99305,"N/A",1107.8499999999999,1,true,true,true,true,true,27,"Licensed Physician",99305,"N/A",1107.8499999999999,1]
[27,"Licensed Physician",99349,"N/A",1318.87,1,true,true,true,true,true,27,"Licensed Physician",99349,"N/A",1318.87,1]
[27,"Licensed Physician",99491,"N/A",791.32,1,true,true,true,true,true,27,"Licensed Physician",99491,"N/A",791.32,1]
[27,"Licensed Physician","H0008","N/A",395.66,1,true,true,true,true,true,27,"Licensed Physician","H0008","N/A",395.66,1]
[27,"Licensed Physician","H2015","N/A",395.66,1,true,true,true,true,true,27,"Licensed Physician","H2015","N/A",395.66,1]
[27,"Licensed Physician","T1006","N/A",395.66,1,true,true,true,true,true,27,"Licensed Physician","T1006","N/A",395.66,1]
[27,"Licensed Psychiatric Technician",96170,"N/A",144.76,1,true,true,true,true,true,27,"Licensed Psychiatric Technician",96170,"N/A",144.76,1]
[27,"Licensed Psychiatric Technician","H0003","N/A",72.38,1,true,true,true,true,true,27,"Licensed Psychiatric Technician","H0003","N/A",72.38,1]
[27,"Licensed Psychiatric Technician","H0034","N/A",72.38,1,true,true,true,true,true,27,"Licensed Psychiatric Technician","H0034","N/A",72.38,1]
[27,"Licensed Psychiatric Technician","H2015","N/A",72.38,1,true,true,true,true,true,27,"Licensed Psychiatric Technician","H2015","N/A",72.38,1]
[27,"Licensed Vocational Nurse","G0397","N/A",337.71,1,true,true,true,true,true,27,"Licensed Vocational Nurse","G0397","N/A",337.71,1]
[27,"Licensed Vocational Nurse","H0033","N/A",84.43,1,true,true,true,true,true,27,"Licensed Vocational Nurse","H0033","N/A",84.43,1]
[27,"Licensed Vocational Nurse","H0050","N/A",84.43,1,true,true,true,true,true,27,"Licensed Vocational Nurse","H0050","N/A",84.43,1]
[27,"Medical Assistant",96170,"N/A",116.08,1,true,true,true,true,true,27,"Medical Assistant",96170,"N/A",116.08,1]
[27,"Medical Assistant","H0048","N/A",58.04,1,true,true,true,true,true,27,"Medical Assistant","H0048","N/A",58.04,1]
[27,"Medical Assistant","T2024","N/A",58.04,1,true,true,true,true,true,27,"Medical Assistant","T2024","N/A",58.04,1]
[27,"MFT/LPCC (Licensed, Waivered or Registered)",96170,"N/A",205.95,1,true,true,true,true,true,27,"MFT/LPCC (Licensed, Waivered or Registered)",96170,"N/A",205.95,1]
[27,"MFT/LPCC (Licensed, Waivered or Registered)","G0543","N/A",68.650000000000006,1,true,true,true,true,true,27,"MFT/LPCC (Licensed, Waivered or Registered)","G0543","N/A",68.650000000000006,1]
[27,"MFT/LPCC (Licensed, Waivered or Registered)","H0005","N/A",22.88,1,true,true,true,true,true,27,"MFT/LPCC (Licensed, Waivered or Registered)","H0005","N/A",22.88,1]
[27,"MFT/LPCC (Licensed, Waivered or Registered)","T2024","N/A",102.97,1,true,true,true,true,true,27,"MFT/LPCC (Licensed, Waivered or Registered)","T2024","N/A",102.97,1]
[27,"Nurse Practitioner",90887,"N/A",655.84,1,true,true,true,true,true,27,"Nurse Practitioner",90887,"N/A",655.84,1]
[27,"Nurse Practitioner",97552,"N/A",131.16999999999999,1,true,true,true,true,true,27,"Nurse Practitioner",97552,"N/A",131.16999999999999,1]
[27,"Nurse Practitioner",99235,"N/A",1010,1,true,true,true,true,true,27,"Nurse Practitioner",99235,"N/A",1010,1]
[27,"Nurse Practitioner",99310,"N/A",682.08,1,true,true,true,true,true,27,"Nurse Practitioner",99310,"N/A",682.08,1]
[27,"Nurse Practitioner",99348,"N/A",459.09,1,true,true,true,true,true,27,"Nurse Practitioner",99348,"N/A",459.09,1]
[27,"Nurse Practitioner",99425,"N/A",393.51,1,true,true,true,true,true,27,"Nurse Practitioner",99425,"N/A",393.51,1]
[27,"Nurse Practitioner","G0397","N/A",787.01,1,true,true,true,true,true,27,"Nurse Practitioner","G0397","N/A",787.01,1]
[27,"Nurse Practitioner","H0033","N/A",196.75,1,true,true,true,true,true,27,"Nurse Practitioner","H0033","N/A",196.75,1]
[27,"Nurse Practitioner","H2017","N/A",196.75,1,true,true,true,true,true,27,"Nurse Practitioner","H2017","N/A",196.75,1]
[27,"Occupational Therapist",96160,"N/A",137.07,1,true,true,true,true,true,27,"Occupational Therapist",96160,"N/A",137.07,1]
[27,"Occupational Therapist",97552,"N/A",91.38,1,true,true,true,true,true,27,"Occupational Therapist",97552,"N/A",91.38,1]
[27,"Occupational Therapist","H2015","N/A",137.07,1,true,true,true,true,true,27,"Occupational Therapist","H2015","N/A",137.07,1]
[27,"Other Qualified Practitioner","H0001","N/A",77.47,1,true,true,true,true,true,27,"Other Qualified Practitioner","H0001","N/A",77.47,1]
[27,"Other Qualified Practitioner","H2027","N/A",77.47,1,true,true,true,true,true,27,"Other Qualified Practitioner","H2027","N/A",77.47,1]
[27,"Peer Support Specialists","H0025","N/A",18.079999999999998,1,true,true,true,true,true,27,"Peer Support Specialists","H0025","N/A",18.079999999999998,1]
[27,"Physician Assistant",96202,"N/A",157.74,1,true,true,true,true,true,27,"Physician Assistant",96202,"N/A",157.74,1]
[27,"Physician Assistant",97550,"N/A",272.08999999999997,1,true,true,true,true,true,27,"Physician Assistant",97550,"N/A",272.08999999999997,1]
[27,"Physician Assistant",99235,"N/A",910.92,1,true,true,true,true,true,27,"Physician Assistant",99235,"N/A",910.92,1]
[27,"Physician Assistant",99310,"N/A",615.16999999999996,1,true,true,true,true,true,27,"Physician Assistant",99310,"N/A",615.16999999999996,1]
[27,"Physician Assistant",99424,"N/A",354.91,1,true,true,true,true,true,27,"Physician Assistant",99424,"N/A",354.91,1]
[27,"Physician Assistant",99496,"N/A",887.26,1,true,true,true,true,true,27,"Physician Assistant",99496,"N/A",887.26,1]
[27,"Physician Assistant","H0005","N/A",39.43,1,true,true,true,true,true,27,"Physician Assistant","H0005","N/A",39.43,1]
[27,"Physician Assistant","H2017","HQ",39.43,1,true,true,true,true,true,27,"Physician Assistant","H2017","HQ",39.43,1]
[27,"Physician Assistant","T1013","N/A",31.88,1,true,true,true,true,true,27,"Physician Assistant","T1013","N/A",31.88,1]
[27,"Psychologist (Licensed or Waivered)",90846,"N/A",530.41,1,true,true,true,true,true,27,"Psychologist (Licensed or Waivered)",90846,"N/A",530.41,1]
[27,"Psychologist (Licensed or Waivered)",99368,"N/A",636.49,1,true,true,true,true,true,27,"Psychologist (Licensed or Waivered)",99368,"N/A",636.49,1]
[27,"Psychologist (Licensed or Waivered)","H0007","N/A",159.12,1,true,true,true,true,true,27,"Psychologist (Licensed or Waivered)","H0007","N/A",159.12,1]
[27,"Psychologist (Licensed or Waivered)","H2014","N/A",159.12,1,true,true,true,true,true,27,"Psychologist (Licensed or Waivered)","H2014","N/A",159.12,1]
[27,"Registered Nurse",96170,"N/A",321.43,1,true,true,true,true,true,27,"Registered Nurse",96170,"N/A",321.43,1]
[27,"Registered Nurse",99239,"N/A",642.85,1,true,true,true,true,true,27,"Registered Nurse",99239,"N/A",642.85,1]
[27,"Registered Nurse","G0540","N/A",160.71,1,true,true,true,true,true,27,"Registered Nurse","G0540","N/A",160.71,1]
[27,"Registered Nurse","H2014","HQ",35.71,1,true,true,true,true,true,27,"Registered Nurse","H2014","HQ",35.71,1]
[27,"Registered Pharmacist",90785,"N/A",18.89,1,true,true,true,true,true,27,"Registered Pharmacist",90785,"N/A",18.89,1]
[27,"Registered Pharmacist",97552,"N/A",126.26,1,true,true,true,true,true,27,"Registered Pharmacist",97552,"N/A",126.26,1]
[27,"Registered Pharmacist","H0050","N/A",189.39,1,true,true,true,true,true,27,"Registered Pharmacist","H0050","N/A",189.39,1]
[28,"Certified AOD Counselor",90882,"N/A",105.56,1,true,true,true,true,true,28,"Certified AOD Counselor",90882,"N/A",105.56,1]
[28,"Certified AOD Counselor","H0049","N/A",105.56,1,true,true,true,true,true,28,"Certified AOD Counselor","H0049","N/A",105.56,1]
[28,"Certified AOD Counselor","H2027","N/A",105.56,1,true,true,true,true,true,28,"Certified AOD Counselor","H2027","N/A",105.56,1]
[28,"LCSW (Licensed, Waivered or Registered)",90882,"N/A",127.26,1,true,true,true,true,true,28,"LCSW (Licensed, Waivered or Registered)",90882,"N/A",127.26,1]
[28,"LCSW (Licensed, Waivered or Registered)",96202,"N/A",113.12,1,true,true,true,true,true,28,"LCSW (Licensed, Waivered or Registered)",96202,"N/A",113.12,1]
[28,"LCSW (Licensed, Waivered or Registered)","G0397","N/A",509.02,1,true,true,true,true,true,28,"LCSW (Licensed, Waivered or Registered)","G0397","N/A",509.02,1]
[28,"LCSW (Licensed, Waivered or Registered)","H2017","N/A",127.26,1,true,true,true,true,true,28,"LCSW (Licensed, Waivered or Registered)","H2017","N/A",127.26,1]
[28,"Licensed Physician",90791,"N/A",1955.85,1,true,true,true,true,true,28,"Licensed Physician",90791,"N/A",1955.85,1]
[28,"Licensed Physician",90847,"N/A",1629.88,1,true,true,true,true,true,28,"Licensed Physician",90847,"N/A",1629.88,1]
[28,"Licensed Physician",97550,"N/A",749.74,1,true,true,true,true,true,28,"Licensed Physician",97550,"N/A",749.74,1]
[28,"Licensed Physician",99238,"N/A",977.93,1,true,true,true,true,true,28,"Licensed Physician",99238,"N/A",977.93,1]
[28,"Licensed Physician",99308,"N/A",814.94,1,true,true,true,true,true,28,"Licensed Physician",99308,"N/A",814.94,1]
[28,"Licensed Physician",99409,"N/A",1955.85,1,true,true,true,true,true,28,"Licensed Physician",99409,"N/A",1955.85,1]
[28,"Licensed Physician","G0316","N/A",488.96,1,true,true,true,true,true,28,"Licensed Physician","G0316","N/A",488.96,1]
[28,"Licensed Physician","H0008","N/A",488.96,1,true,true,true,true,true,28,"Licensed Physician","H0008","N/A",488.96,1]
[28,"Licensed Physician","H0034","N/A",488.96,1,true,true,true,true,true,28,"Licensed Physician","H0034","N/A",488.96,1]
[28,"Licensed Physician","T1017","N/A",488.96,1,true,true,true,true,true,28,"Licensed Physician","T1017","N/A",488.96,1]
[28,"Licensed Psychiatric Technician",97550,"N/A",137.15,1,true,true,true,true,true,28,"Licensed Psychiatric Technician",97550,"N/A",137.15,1]
[28,"Licensed Psychiatric Technician","G0397","N/A",357.78,1,true,true,true,true,true,28,"Licensed Psychiatric Technician","G0397","N/A",357.78,1]
[28,"Licensed Psychiatric Technician","H0034","N/A",89.45,1,true,true,true,true,true,28,"Licensed Psychiatric Technician","H0034","N/A",89.45,1]
[28,"Licensed Psychiatric Technician","T1013","N/A",31.88,1,true,true,true,true,true,28,"Licensed Psychiatric Technician","T1013","N/A",31.88,1]
[28,"Licensed Vocational Nurse",96170,"N/A",208.67,1,true,true,true,true,true,28,"Licensed Vocational Nurse",96170,"N/A",208.67,1]
[28,"Licensed Vocational Nurse","H0033","N/A",104.34,1,true,true,true,true,true,28,"Licensed Vocational Nurse","H0033","N/A",104.34,1]
[28,"Licensed Vocational Nurse","H2014","HQ",23.19,1,true,true,true,true,true,28,"Licensed Vocational Nurse","H2014","HQ",23.19,1]
[28,"Medical Assistant",96170,"N/A",143.44999999999999,1,true,true,true,true,true,28,"Medical Assistant",96170,"N/A",143.44999999999999,1]
[28,"Medical Assistant","H2027","N/A",71.72,1,true,true,true,true,true,28,"Medical Assistant","H2027","N/A",71.72,1]
[28,"MFT/LPCC (Licensed, Waivered or Registered)",90846,"N/A",424.18,1,true,true,true,true,true,28,"MFT/LPCC (Licensed, Waivered or Registered)",90846,"N/A",424.18,1]
[28,"MFT/LPCC (Licensed, Waivered or Registered)",96170,"N/A",254.51,1,true,true,true,true,true,28,"MFT/LPCC (Licensed, Waivered or Registered)",96170,"N/A",254.51,1]
[28,"MFT/LPCC (Licensed, Waivered or Registered)","H0004","N/A",127.26,1,true,true,true,true,true,28,"MFT/LPCC (Licensed, Waivered or Registered)","H0004","N/A",127.26,1]
[28,"MFT/LPCC (Licensed, Waivered or Registered)","H0005","N/A",28.28,1,true,true,true,true,true,28,"MFT/LPCC (Licensed, Waivered or Registered)","H0005","N/A",28.28,1]
[28,"MFT/LPCC (Licensed, Waivered or Registered)","H2035","N/A",509.02,1,true,true,true,true,true,28,"MFT/LPCC (Licensed, Waivered or Registered)","H2035","N/A",509.02,1]
[28,"Nurse Practitioner",96131,"N/A",972.6,1,true,true,true,true,true,28,"Nurse Practitioner",96131,"N/A",972.6,1]
[28,"Nurse Practitioner",97552,"N/A",162.1,1,true,true,true,true,true,28,"Nurse Practitioner",97552,"N/A",162.1,1]
[28,"Nurse Practitioner",99213,"N/A",405.25,1,true,true,true,true,true,28,"Nurse Practitioner",99213,"N/A",405.25,1]
[28,"Nurse Practitioner",99308,"N/A",405.25,1,true,true,true,true,true,28,"Nurse Practitioner",99308,"N/A",405.25,1]
[28,"Nurse Practitioner",99408,"N/A",372.83,1,true,true,true,true,true,28,"Nurse Practitioner",99408,"N/A",372.83,1]
[28,"Nurse Practitioner",99442,"N/A",259.36,1,{"$f":"EXACT(A9411,L9411)","v":true},{"$f":"EXACT(B9411,M9411)","v":true},{"$f":"EXACT(C9411,N9411)","v":true},{"$f":"EXACT(D9411,O9411)","v":true},{"$f":"EXACT(E9411,P9411)","v":true},28,"Nurse Practitioner",99442,"N/A",259.36,1]
[28,"Nurse Practitioner","G0397","N/A",972.6,1,true,true,true,true,true,28,"Nurse Practitioner","G0397","N/A",972.6,1]
[28,"Nurse Practitioner","H2014","N/A",243.15,1,true,true,true,true,true,28,"Nurse Practitioner","H2014","N/A",243.15,1]
[28,"Nurse Practitioner","T2021","N/A",243.15,1,true,true,true,true,true,28,"Nurse Practitioner","T2021","N/A",243.15,1]
[28,"Occupational Therapist",96203,"N/A",37.64,1,true,true,true,true,true,28,"Occupational Therapist",96203,"N/A",37.64,1]
[28,"Occupational Therapist","H0004","N/A",169.4,1,true,true,true,true,true,28,"Occupational Therapist","H0004","N/A",169.4,1]
[28,"Occupational Therapist","H2015","N/A",169.4,1,true,true,true,true,true,28,"Occupational Therapist","H2015","N/A",169.4,1]
[28,"Other Qualified Practitioner","H1000","N/A",95.74,1,true,true,true,true,true,28,"Other Qualified Practitioner","H1000","N/A",95.74,1]
[28,"Other Qualified Practitioner","T1017","N/A",95.74,1,true,true,true,true,true,28,"Other Qualified Practitioner","T1017","N/A",95.74,1]
[28,"Peer Support Specialists","H0025","N/A",22.34,1,true,true,true,true,true,28,"Peer Support Specialists","H0025","N/A",22.34,1]
[28,"Physician Assistant",96131,"N/A",877.19,1,true,true,true,true,true,28,"Physician Assistant",96131,"N/A",877.19,1]
[28,"Physician Assistant",99214,"N/A",511.69,1,true,true,true,true,true,28,"Physician Assistant",99214,"N/A",511.69,1]
[28,"Physician Assistant",99239,"N/A",877.19,1,true,true,true,true,true,28,"Physician Assistant",99239,"N/A",877.19,1]
[28,"Physician Assistant",99344,"N/A",979.53,1,true,true,true,true,true,28,"Physician Assistant",99344,"N/A",979.53,1]
[28,"Physician Assistant",99424,"N/A",438.6,1,true,true,true,true,true,28,"Physician Assistant",99424,"N/A",438.6,1]
[28,"Physician Assistant","G0542","N/A",219.3,1,true,true,true,true,true,28,"Physician Assistant","G0542","N/A",219.3,1]
[28,"Physician Assistant","H0005","N/A",48.73,1,true,true,true,true,true,28,"Physician Assistant","H0005","N/A",48.73,1]
[28,"Physician Assistant","H2035","N/A",877.19,1,true,true,true,true,true,28,"Physician Assistant","H2035","N/A",877.19,1]
[28,"Psychologist (Licensed or Waivered)",90791,"N/A",786.58,1,true,true,true,true,true,28,"Psychologist (Licensed or Waivered)",90791,"N/A",786.58,1]
[28,"Psychologist (Licensed or Waivered)",96202,"N/A",174.8,1,true,true,true,true,true,28,"Psychologist (Licensed or Waivered)",96202,"N/A",174.8,1]
[28,"Psychologist (Licensed or Waivered)","G0539","N/A",301.52,1,true,true,true,true,true,28,"Psychologist (Licensed or Waivered)","G0539","N/A",301.52,1]
[28,"Psychologist (Licensed or Waivered)","H0007","N/A",196.65,1,true,true,true,true,true,28,"Psychologist (Licensed or Waivered)","H0007","N/A",196.65,1]
[28,"Psychologist (Licensed or Waivered)","H2035","N/A",786.58,1,true,true,true,true,true,28,"Psychologist (Licensed or Waivered)","H2035","N/A",786.58,1]
[28,"Registered Nurse",90882,"N/A",198.61,1,true,true,true,true,true,28,"Registered Nurse",90882,"N/A",198.61,1]
[28,"Registered Nurse",99239,"N/A",794.44,1,true,true,true,true,true,28,"Registered Nurse",99239,"N/A",794.44,1]
[28,"Registered Nurse","G0543","N/A",132.41,1,true,true,true,true,true,28,"Registered Nurse","G0543","N/A",132.41,1]
[28,"Registered Nurse","H0033","N/A",198.61,1,true,true,true,true,true,28,"Registered Nurse","H0033","N/A",198.61,1]
[28,"Registered Pharmacist",96203,"N/A",52.01,1,true,true,true,true,true,28,"Registered Pharmacist",96203,"N/A",52.01,1]
[28,"Registered Pharmacist","G0397","N/A",936.22,1,true,true,true,true,true,28,"Registered Pharmacist","G0397","N/A",936.22,1]
[28,"Registered Pharmacist","H0050","N/A",234.06,1,true,true,true,true,true,28,"Registered Pharmacist","H0050","N/A",234.06,1]
[29,"Certified AOD Counselor","G2011","N/A",56.84,1,true,true,true,true,true,29,"Certified AOD Counselor","G2011","N/A",56.84,1]
[29,"Certified AOD Counselor","H2014","HQ",18.95,1,true,true,true,true,true,29,"Certified AOD Counselor","H2014","HQ",18.95,1]
[29,"Certified AOD Counselor","T1007","N/A",85.26,1,true,true,true,true,true,29,"Certified AOD Counselor","T1007","N/A",85.26,1]
[29,"LCSW (Licensed, Waivered or Registered)",90889,"N/A",102.79,1,true,true,true,true,true,29,"LCSW (Licensed, Waivered or Registered)",90889,"N/A",102.79,1]
[29,"LCSW (Licensed, Waivered or Registered)",96202,"N/A",91.37,1,{"$f":"EXACT(A9795,L9795)","v":true},{"$f":"EXACT(B9795,M9795)","v":true},{"$f":"EXACT(C9795,N9795)","v":true},{"$f":"EXACT(D9795,O9795)","v":true},{"$f":"EXACT(E9795,P9795)","v":true},29,"LCSW (Licensed, Waivered or Registered)",96202,"N/A",91.37,1]
[29,"LCSW (Licensed, Waivered or Registered)","G0541","N/A",157.61000000000001,1,true,true,true,true,true,29,"LCSW (Licensed, Waivered or Registered)","G0541","N/A",157.61000000000001,1]
[29,"LCSW (Licensed, Waivered or Registered)","T1007","N/A",102.79,1,true,true,true,true,true,29,"LCSW (Licensed, Waivered or Registered)","T1007","N/A",102.79,1]
[29,"Licensed Physician",90791,"N/A",1579.79,1,true,true,true,true,true,29,"Licensed Physician",90791,"N/A",1579.79,1]
[29,"Licensed Physician",90882,"N/A",394.95,1,true,true,true,true,true,29,"Licensed Physician",90882,"N/A",394.95,1]
[29,"Licensed Physician",99203,"N/A",974.2,1,true,true,true,true,true,29,"Licensed Physician",99203,"N/A",974.2,1]
[29,"Licensed Physician",99305,"N/A",1105.8499999999999,1,true,true,true,true,true,29,"Licensed Physician",99305,"N/A",1105.8499999999999,1]
[29,"Licensed Physician",99341,"N/A",579.26,1,true,true,true,true,true,29,"Licensed Physician",99341,"N/A",579.26,1]
[29,"Licensed Physician",99409,"N/A",1579.79,1,true,true,true,true,true,29,"Licensed Physician",99409,"N/A",1579.79,1]
[29,"Licensed Physician","G0539","N/A",605.59,1,true,true,true,true,true,29,"Licensed Physician","G0539","N/A",605.59,1]
[29,"Licensed Physician","H0034","HQ",87.77,1,true,true,true,true,true,29,"Licensed Physician","H0034","HQ",87.77,1]
[29,"Licensed Physician","H0049","N/A",394.95,1,true,true,true,true,true,29,"Licensed Physician","H0049","N/A",394.95,1]
[29,"Licensed Physician","T2021",22,397.96,1,true,true,true,true,true,29,"Licensed Physician","T2021",22,397.96,1]
[29,"Licensed Psychiatric Technician",97550,"N/A",110.78,1,true,true,true,true,true,29,"Licensed Psychiatric Technician",97550,"N/A",110.78,1]
[29,"Licensed Psychiatric Technician","G0541","N/A",110.78,1,true,true,true,true,true,29,"Licensed Psychiatric Technician","G0541","N/A",110.78,1]
[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",90882,"N/A",84.28,1,true,true,true,true,true,29,"Licensed Vocational Nurse",90882,"N/A",84.28,1]
[29,"Licensed Vocational Nurse",96203,"N/A",18.73,1,true,true,true,true,true,29,"Licensed Vocational Nurse",96203,"N/A",18.73,1]
[29,"Licensed Vocational Nurse","H0049","N/A",84.28,1,true,true,true,true,true,29,"Licensed Vocational Nurse","H0049","N/A",84.28,1]
[29,"Licensed Vocational Nurse","H2017","HQ",18.73,1,true,true,true,true,true,29,"Licensed Vocational Nurse","H2017","HQ",18.73,1]
[29,"Medical Assistant",96170,"N/A",115.87,1,true,true,true,true,true,29,"Medical Assistant",96170,"N/A",115.87,1]
[29,"Medical Assistant","H0034","HQ",12.87,1,true,true,true,true,true,29,"Medical Assistant","H0034","HQ",12.87,1]
[29,"MFT/LPCC (Licensed, Waivered or Registered)",90882,"N/A",102.79,1,{"$f":"EXACT(A10051,L10051)","v":true},{"$f":"EXACT(B10051,M10051)","v":true},{"$f":"EXACT(C10051,N10051)","v":true},{"$f":"EXACT(D10051,O10051)","v":true},{"$f":"EXACT(E10051,P10051)","v":true},29,"MFT/LPCC (Licensed, Waivered or Registered)",90882,"N/A",102.79,1]
[29,"MFT/LPCC (Licensed, Waivered or Registered)",97550,"N/A",157.61000000000001,1,true,true,true,true,true,29,"MFT/LPCC (Licensed, Waivered or Registered)",97550,"N/A",157.61000000000001,1]
[29,"MFT/LPCC (Licensed, Waivered or Registered)","G0397","N/A",411.15,1,true,true,true,true,true,29,"MFT/LPCC (Licensed, Waivered or Registered)","G0397","N/A",411.15,1]
[29,"MFT/LPCC (Licensed, Waivered or Registered)","H2035","N/A",411.15,1,true,true,true,true,true,29,"MFT/LPCC (Licensed, Waivered or Registered)","H2035","N/A",411.15,1]
[29,"MFT/LPCC (Licensed, Waivered or Registered)","T2021",22,105.8,1,true,true,true,true,true,29,"MFT/LPCC (Licensed, Waivered or Registered)","T2021",22,105.8,1]
[29,"Nurse Practitioner",90847,"N/A",654.66,1,true,true,true,true,true,29,"Nurse Practitioner",90847,"N/A",654.66,1]
[29,"Nurse Practitioner",97552,"N/A",130.93,1,true,true,true,true,true,29,"Nurse Practitioner",97552,"N/A",130.93,1]
[29,"Nurse Practitioner",99234,"N/A",746.31,1,true,true,true,true,true,29,"Nurse Practitioner",99234,"N/A",746.31,1]
[29,"Nurse Practitioner",99308,"N/A",327.33,1,true,true,true,true,true,29,"Nurse Practitioner",99308,"N/A",327.33,1]
[29,"Nurse Practitioner",99425,"N/A",392.8,1,true,true,true,true,true,29,"Nurse Practitioner",99425,"N/A",392.8,1]
[29,"Nurse Practitioner",99495,"N/A",707.03,1,true,true,true,true,true,29,"Nurse Practitioner",99495,"N/A",707.03,1]
[29,"Nurse Practitioner","H0008","N/A",196.4,1,true,true,true,true,true,29,"Nurse Practitioner","H0008","N/A",196.4,1]
[29,"Nurse Practitioner","H2017","N/A",196.4,1,true,true,true,true,true,29,"Nurse Practitioner","H2017","N/A",196.4,1]
[29,"Nurse Practitioner","T2021","N/A",196.4,1,true,true,true,true,true,29,"Nurse Practitioner","T2021","N/A",196.4,1]
[29,"Occupational Therapist",96160,"N/A",136.83000000000001,1,true,true,true,true,true,29,"Occupational Therapist",96160,"N/A",136.83000000000001,1]
[29,"Occupational Therapist","H0033","N/A",136.83000000000001,1,true,true,true,true,true,29,"Occupational Therapist","H0033","N/A",136.83000000000001,1]
[29,"Occupational Therapist","H2015","N/A",136.83000000000001,1,true,true,true,true,true,29,"Occupational Therapist","H2015","N/A",136.83000000000001,1]
[29,"Other Qualified Practitioner","G2011","N/A",51.56,1,{"$f":"EXACT(A10243,L10243)","v":true},{"$f":"EXACT(B10243,M10243)","v":true},{"$f":"EXACT(C10243,N10243)","v":true},{"$f":"EXACT(D10243,O10243)","v":true},{"$f":"EXACT(E10243,P10243)","v":true},29,"Other Qualified Practitioner","G2011","N/A",51.56,1]
[29,"Other Qualified Practitioner","H2017","N/A",77.33,1,true,true,true,true,true,29,"Other Qualified Practitioner","H2017","N/A",77.33,1]
[29,"Physician Assistant",90849,"N/A",220.43,1,true,true,true,true,true,29,"Physician Assistant",90849,"N/A",220.43,1]
[29,"Physician Assistant",96171,"N/A",177.13,1,true,true,true,true,true,29,"Physician Assistant",96171,"N/A",177.13,1]
[29,"Physician Assistant",99214,"N/A",413.31,1,true,true,true,true,true,29,"Physician Assistant",99214,"N/A",413.31,1]
[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",99348,"N/A",413.31,1,true,true,true,true,true,29,"Physician Assistant",99348,"N/A",413.31,1]
[29,"Physician Assistant",99424,"N/A",354.27,1,true,true,true,true,true,29,"Physician Assistant",99424,"N/A",354.27,1]
[29,"Physician Assistant","H0001","N/A",177.13,1,true,true,true,true,true,29,"Physician Assistant","H0001","N/A",177.13,1]
[29,"Physician Assistant","H0005","N/A",39.36,1,true,true,true,true,true,29,"Physician Assistant","H0005","N/A",39.36,1]
[29,"Physician Assistant","T1013","N/A",31.88,1,true,true,true,true,true,29,"Physician Assistant","T1013","N/A",31.88,1]
[29,"Psychologist (Licensed or Waivered)",90849,"N/A",197.66,1,true,true,true,true,true,29,"Psychologist (Licensed or Waivered)",90849,"N/A",197.66,1]
[29,"Psychologist (Licensed or Waivered)",96202,"N/A",141.19,1,true,true,true,true,true,29,"Psychologist (Licensed or Waivered)",96202,"N/A",141.19,1]
[29,"Psychologist (Licensed or Waivered)",98968,"N/A",275.31,1,true,true,true,true,true,29,"Psychologist (Licensed or Waivered)",98968,"N/A",275.31,1]
[29,"Psychologist (Licensed or Waivered)","H0007","N/A",158.84,1,true,true,true,true,true,29,"Psychologist (Licensed or Waivered)","H0007","N/A",158.84,1]
[29,"Psychologist (Licensed or Waivered)","T1013","N/A",31.88,1,true,true,true,true,true,29,"Psychologist (Licensed or Waivered)","T1013","N/A",31.88,1]
[29,"Registered Nurse",96160,"N/A",160.41999999999999,1,true,true,true,true,true,29,"Registered Nurse",96160,"N/A",160.41999999999999,1]
[29,"Registered Nurse",99239,"N/A",641.69000000000005,1,true,true,true,true,true,29,"Registered Nurse",99239,"N/A",641.69000000000005,1]
[29,"Registered Nurse","H0008","N/A",160.41999999999999,1,true,true,true,true,true,29,"Registered Nurse","H0008","N/A",160.41999999999999,1]
[29,"Registered Nurse","T1007","N/A",160.41999999999999,1,true,true,true,true,true,29,"Registered Nurse","T1007","N/A",160.41999999999999,1]
[29,"Registered Pharmacist",97552,"N/A",126.04,1,true,true,true,true,true,29,"Registered Pharmacist",97552,"N/A",126.04,1]
[29,"Registered Pharmacist","H0001","N/A",189.05,1,true,true,true,true,true,29,"Registered Pharmacist","H0001","N/A",189.05,1]
[29,"Registered Pharmacist","H0050","N/A",189.05,1,true,true,true,true,true,29,"Registered Pharmacist","H0050","N/A",189.05,1]
[30,"Certified AOD Counselor","H0005","N/A",19.21,1,true,true,true,true,true,30,"Certified AOD Counselor","H0005","N/A",19.21,1]
[30,"Certified AOD Counselor","H2014","HQ",19.21,1,true,true,true,true,true,30,"Certified AOD Counselor","H2014","HQ",19.21,1]
[30,"Certified AOD Counselor","T2024","N/A",86.45,1,true,true,true,true,true,30,"Certified AOD Counselor","T2024","N/A",86.45,1]
[30,"LCSW (Licensed, Waivered or Registered)",90849,"N/A",129.71,1,true,true,true,true,true,30,"LCSW (Licensed, Waivered or Registered)",90849,"N/A",129.71,1]
[30,"LCSW (Licensed, Waivered or Registered)","G0540","N/A",104.23,1,true,true,true,true,true,30,"LCSW (Licensed, Waivered or Registered)","G0540","N/A",104.23,1]
[30,"LCSW (Licensed, Waivered or Registered)","G2011","N/A",69.489999999999995,1,true,true,true,true,true,30,"LCSW (Licensed, Waivered or Registered)","G2011","N/A",69.489999999999995,1]
[30,"LCSW (Licensed, Waivered or Registered)","T1007","N/A",104.23,1,true,true,true,true,true,30,"LCSW (Licensed, Waivered or Registered)","T1007","N/A",104.23,1]
[30,"Licensed Physician",90847,"N/A",1334.93,1,true,true,true,true,true,30,"Licensed Physician",90847,"N/A",1334.93,1]
[30,"Licensed Physician",96170,"N/A",800.96,1,true,true,true,true,true,30,"Licensed Physician",96170,"N/A",800.96,1]
[30,"Licensed Physician",99203,"N/A",987.85,1,true,true,true,true,true,30,"Licensed Physician",99203,"N/A",987.85,1]
[30,"Licensed Physician",99308,"N/A",667.47,1,true,true,true,true,true,30,"Licensed Physician",99308,"N/A",667.47,1]
[30,"Licensed Physician",99344,"N/A",1788.81,1,true,true,true,true,true,30,"Licensed Physician",99344,"N/A",1788.81,1]
[30,"Licensed Physician",99418,"N/A",400.48,1,true,true,true,true,true,30,"Licensed Physician",99418,"N/A",400.48,1]
[30,"Licensed Physician","G0542","N/A",400.48,1,true,true,true,true,true,30,"Licensed Physician","G0542","N/A",400.48,1]
[30,"Licensed Physician","H0034","HQ",89,1,true,true,true,true,true,30,"Licensed Physician","H0034","HQ",89,1]
[30,"Licensed Physician","H2014","N/A",400.48,1,true,true,true,true,true,30,"Licensed Physician","H2014","N/A",400.48,1]
[30,"Licensed Psychiatric Technician",90785,"N/A",18.89,1,true,true,true,true,true,30,"Licensed Psychiatric Technician",90785,"N/A",18.89,1]
[30,"Licensed Psychiatric Technician","G0397","N/A",293.02999999999997,1,true,true,true,true,true,30,"Licensed Psychiatric Technician","G0397","N/A",293.02999999999997,1]
[30,"Licensed Psychiatric Technician","G2011","N/A",48.84,1,true,true,true,true,true,30,"Licensed Psychiatric Technician","G2011","N/A",48.84,1]
[30,"Licensed Psychiatric Technician","H0050","N/A",73.260000000000005,1,true,true,true,true,true,30,"Licensed Psychiatric Technician","H0050","N/A",73.260000000000005,1]
[30,"Licensed Vocational Nurse",96170,"N/A",170.91,1,true,true,true,true,true,30,"Licensed Vocational Nurse",96170,"N/A",170.91,1]
[30,"Licensed Vocational Nurse",97552,"N/A",56.97,1,true,true,true,true,true,30,"Licensed Vocational Nurse",97552,"N/A",56.97,1]
[30,"Licensed Vocational Nurse","H0049","N/A",85.46,1,true,true,true,true,true,30,"Licensed Vocational Nurse","H0049","N/A",85.46,1]
[30,"Licensed Vocational Nurse","H2035","N/A",341.82,1,true,true,true,true,true,30,"Licensed Vocational Nurse","H2035","N/A",341.82,1]
[30,"Medical Assistant","H0003","N/A",58.74,1,true,true,true,true,true,30,"Medical Assistant","H0003","N/A",58.74,1]
[30,"Medical Assistant","H2014","N/A",58.74,1,true,true,true,true,true,30,"Medical Assistant","H2014","N/A",58.74,1]
[30,"MFT/LPCC (Licensed, Waivered or Registered)",90889,"N/A",104.23,1,true,true,true,true,true,30,"MFT/LPCC (Licensed, Waivered or Registered)",90889,"N/A",104.23,1]
[30,"MFT/LPCC (Licensed, Waivered or Registered)",97550,"N/A",159.82,1,true,true,true,true,true,30,"MFT/LPCC (Licensed, Waivered or Registered)",97550,"N/A",159.82,1]
[30,"MFT/LPCC (Licensed, Waivered or Registered)","G0541","N/A",159.82,1,true,true,true,true,true,30,"MFT/LPCC (Licensed, Waivered or Registered)","G0541","N/A",159.82,1]
[30,"MFT/LPCC (Licensed, Waivered or Registered)","H1000","N/A",104.23,1,true,true,true,true,true,30,"MFT/LPCC (Licensed, Waivered or Registered)","H1000","N/A",104.23,1]
[30,"Nurse Practitioner",90791,"N/A",796.59,1,true,true,true,true,true,30,"Nurse Practitioner",90791,"N/A",796.59,1]
[30,"Nurse Practitioner",90882,"N/A",199.15,1,true,true,true,true,true,30,"Nurse Practitioner",90882,"N/A",199.15,1]
[30,"Nurse Practitioner",99202,"N/A",292.08,1,true,true,true,true,true,30,"Nurse Practitioner",99202,"N/A",292.08,1]
[30,"Nurse Practitioner",99238,"N/A",398.3,1,{"$f":"EXACT(A10883,L10883)","v":true},{"$f":"EXACT(B10883,M10883)","v":true},{"$f":"EXACT(C10883,N10883)","v":true},{"$f":"EXACT(D10883,O10883)","v":true},{"$f":"EXACT(E10883,P10883)","v":true},30,"Nurse Practitioner",99238,"N/A",398.3,1]
[30,"Nurse Practitioner",99308,"N/A",331.91,{"$f":"IF(C10889=\"G0323\",9,1)","v":1},true,true,true,true,true,30,"Nurse Practitioner",99308,"N/A",331.91,{"$f":"IF(OR(N10889=\"H0036\",N10889=\"G0323\"),9,1)","v":1}]
[30,"Nurse Practitioner",99368,"N/A",796.59,1,true,true,true,true,true,30,"Nurse Practitioner",99368,"N/A",796.59,1]
[30,"Nurse Practitioner","G0396","N/A",305.36,1,true,true,true,true,true,30,"Nurse Practitioner","G0396","N/A",305.36,1]
[30,"Nurse Practitioner","G0542","N/A",199.15,1,true,true,true,true,true,30,"Nurse Practitioner","G0542","N/A",199.15,1]
[30,"Nurse Practitioner","H0034","HQ",44.26,1,true,true,true,true,true,30,"Nurse Practitioner","H0034","HQ",44.26,1]
[30,"Nurse Practitioner","T2021","N/A",199.15,1,true,true,true,true,true,30,"Nurse Practitioner","T2021","N/A",199.15,1]
[30,"Occupational Therapist",96202,"N/A",123.32,1,true,true,true,true,true,30,"Occupational Therapist",96202,"N/A",123.32,1]
[30,"Occupational Therapist","G0540","N/A",138.74,1,true,true,true,true,true,30,"Occupational Therapist","G0540","N/A",138.74,1]
[30,"Occupational Therapist","H2015","N/A",138.74,1,true,true,true,true,true,30,"Occupational Therapist","H2015","N/A",138.74,1]
[30,"Other Qualified Practitioner","H0050","N/A",78.42,1,true,true,true,true,true,30,"Other Qualified Practitioner","H0050","N/A",78.42,1]
[30,"Physician Assistant",90791,"N/A",718.45,1,true,true,true,true,true,30,"Physician Assistant",90791,"N/A",718.45,1]
[30,"Physician Assistant",96131,"N/A",718.45,1,true,true,true,true,true,30,"Physician Assistant",96131,"N/A",718.45,1]
[30,"Physician Assistant",97550,"N/A",275.41000000000003,1,true,true,true,true,true,30,"Physician Assistant",97550,"N/A",275.41000000000003,1]
[30,"Physician Assistant",99214,"N/A",419.1,1,true,true,true,true,true,30,"Physician Assistant",99214,"N/A",419.1,1]
[30,"Physician Assistant",99344,"N/A",802.27,1,true,true,true,true,true,30,"Physician Assistant",99344,"N/A",802.27,1]
[30,"Physician Assistant",99350,"N/A",802.27,1,true,true,true,true,true,30,"Physician Assistant",99350,"N/A",802.27,1]
[30,"Physician Assistant",99442,"N/A",191.59,1,{"$f":"EXACT(A11075,L11075)","v":true},{"$f":"EXACT(B11075,M11075)","v":true},{"$f":"EXACT(C11075,N11075)","v":true},{"$f":"EXACT(D11075,O11075)","v":true},{"$f":"EXACT(E11075,P11075)","v":true},30,"Physician Assistant",99442,"N/A",191.59,1]
[30,"Physician Assistant","H0005","N/A",39.909999999999997,1,true,true,true,true,true,30,"Physician Assistant","H0005","N/A",39.909999999999997,1]
[30,"Physician Assistant","H2014","HQ",39.909999999999997,1,true,true,true,true,true,30,"Physician Assistant","H2014","HQ",39.909999999999997,1]
[30,"Physician Assistant","H2027","N/A",179.61,1,true,true,true,true,true,30,"Physician Assistant","H2027","N/A",179.61,1]
[30,"Psychologist (Licensed or Waivered)",90887,"N/A",536.87,1,true,true,true,true,true,30,"Psychologist (Licensed or Waivered)",90887,"N/A",536.87,1]
[30,"Psychologist (Licensed or Waivered)",96202,"N/A",143.16,1,true,true,true,true,true,30,"Psychologist (Licensed or Waivered)",96202,"N/A",143.16,1]
[30,"Psychologist (Licensed or Waivered)","G0397","N/A",644.24,1,true,true,true,true,true,30,"Psychologist (Licensed or Waivered)","G0397","N/A",644.24,1]
[30,"Psychologist (Licensed or Waivered)","H0007","N/A",161.06,1,true,true,true,true,true,30,"Psychologist (Licensed or Waivered)","H0007","N/A",161.06,1]
[30,"Registered Nurse",90882,"N/A",162.66999999999999,1,true,true,true,true,true,30,"Registered Nurse",90882,"N/A",162.66999999999999,1]
[30,"Registered Nurse",96202,"N/A",144.6,1,true,true,true,true,true,30,"Registered Nurse",96202,"N/A",144.6,1]
[30,"Registered Nurse","G0543","N/A",108.45,1,true,true,true,true,true,30,"Registered Nurse","G0543","N/A",108.45,1]
[30,"Registered Nurse","H0034","N/A",162.66999999999999,1,true,true,true,true,true,30,"Registered Nurse","H0034","N/A",162.66999999999999,1]
[30,"Registered Nurse","T1007","N/A",162.66999999999999,1,true,true,true,true,true,30,"Registered Nurse","T1007","N/A",162.66999999999999,1]
[30,"Registered Pharmacist",96202,"N/A",170.4,1,true,true,true,true,true,30,"Registered Pharmacist",96202,"N/A",170.4,1]
[30,"Registered Pharmacist","H0009","N/A",191.7,1,true,true,true,true,true,30,"Registered Pharmacist","H0009","N/A",191.7,1]
[30,"Registered Pharmacist","H0050","N/A",191.7,1,true,true,true,true,true,30,"Registered Pharmacist","H0050","N/A",191.7,1]
[31,"Certified AOD Counselor","G0397","N/A",354.37,1,true,true,true,true,true,31,"Certified AOD Counselor","G0397","N/A",354.37,1]
[31,"Certified AOD Counselor","H2014","HQ",19.690000000000001,1,true,true,true,true,true,31,"Certified AOD Counselor","H2014","HQ",19.690000000000001,1]
[31,"Community Health Worker",98962,"N/A",25.34,1,true,true,true,true,true,31,"Community Health Worker",98962,"N/A",25.34,1]
[31,"LCSW (Licensed, Waivered or Registered)",90887,"N/A",356.02,1,true,true,true,true,true,31,"LCSW (Licensed, Waivered or Registered)",90887,"N/A",356.02,1]
[31,"LCSW (Licensed, Waivered or Registered)","G0540","N/A",106.81,1,true,true,true,true,true,31,"LCSW (Licensed, Waivered or Registered)","G0540","N/A",106.81,1]
[31,"LCSW (Licensed, Waivered or Registered)","H1000","N/A",106.81,1,true,true,true,true,true,31,"LCSW (Licensed, Waivered or Registered)","H1000","N/A",106.81,1]
[31,"LCSW (Licensed, Waivered or Registered)","T1007","N/A",106.81,1,true,true,true,true,true,31,"LCSW (Licensed, Waivered or Registered)","T1007","N/A",106.81,1]
[31,"Licensed Physician",90882,"N/A",410.39,1,true,true,true,true,true,31,"Licensed Physician",90882,"N/A",410.39,1]
[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",99203,"N/A",1012.29,1,true,true,true,true,true,31,"Licensed Physician",99203,"N/A",1012.29,1]
[31,"Licensed Physician",99341,"N/A",601.9,1,true,true,true,true,true,31,"Licensed Physician",99341,"N/A",601.9,1]
[31,"Licensed Physician",99344,"N/A",1833.06,1,true,true,true,true,true,31,"Licensed Physician",99344,"N/A",1833.06,1]
[31,"Licensed Physician",99437,"N/A",820.78,1,true,true,true,true,true,31,"Licensed Physician",99437,"N/A",820.78,1]
[31,"Licensed Physician","G0397","N/A",1641.55,1,true,true,true,true,true,31,"Licensed Physician","G0397","N/A",1641.55,1]
[31,"Licensed Physician","H0034","HQ",91.2,1,true,true,true,true,true,31,"Licensed Physician","H0034","HQ",91.2,1]
[31,"Licensed Physician","H2017","N/A",410.39,1,true,true,true,true,true,31,"Licensed Physician","H2017","N/A",410.39,1]
[31,"Licensed Psychiatric Technician",90785,"N/A",18.89,1,true,true,true,true,true,31,"Licensed Psychiatric Technician",90785,"N/A",18.89,1]
[31,"Licensed Psychiatric Technician","G0541","N/A",115.11,1,true,true,true,true,true,31,"Licensed Psychiatric Technician","G0541","N/A",115.11,1]
[31,"Licensed Psychiatric Technician","H0034","N/A",75.069999999999993,{"$f":"IF(C11465=\"G0323\",9,1)","v":1},true,true,true,true,true,31,"Licensed Psychiatric Technician","H0034","N/A",75.069999999999993,{"$f":"IF(OR(N11465=\"H0036\",N11465=\"G0323\"),9,1)","v":1}]
[31,"Licensed Psychiatric Technician","H0050","N/A",75.069999999999993,1,true,true,true,true,true,31,"Licensed Psychiatric Technician","H0050","N/A",75.069999999999993,1]
[31,"Licensed Vocational Nurse",96203,"N/A",19.46,1,true,true,true,true,true,31,"Licensed Vocational Nurse",96203,"N/A",19.46,1]
[31,"Licensed Vocational Nurse","H0003","N/A",87.57,1,true,true,true,true,true,31,"Licensed Vocational Nurse","H0003","N/A",87.57,1]
[31,"Licensed Vocational Nurse","H0033","N/A",87.57,1,true,true,true,true,true,31,"Licensed Vocational Nurse","H0033","N/A",87.57,1]
[31,"Licensed Vocational Nurse","T1017","N/A",87.57,1,{"$f":"EXACT(A11523,L11523)","v":true},{"$f":"EXACT(B11523,M11523)","v":true},{"$f":"EXACT(C11523,N11523)","v":true},{"$f":"EXACT(D11523,O11523)","v":true},{"$f":"EXACT(E11523,P11523)","v":true},31,"Licensed Vocational Nurse","T1017","N/A",87.57,1]
[31,"Medical Assistant","H0003","N/A",60.2,1,true,true,true,true,true,31,"Medical Assistant","H0003","N/A",60.2,1]
[31,"Medical Assistant","H2017","HQ",13.38,1,true,true,true,true,true,31,"Medical Assistant","H2017","HQ",13.38,1]
[31,"MFT/LPCC (Licensed, Waivered or Registered)",90849,"N/A",132.91,1,true,true,true,true,true,31,"MFT/LPCC (Licensed, Waivered or Registered)",90849,"N/A",132.91,1]
[31,"MFT/LPCC (Licensed, Waivered or Registered)",97550,"N/A",163.77000000000001,1,true,true,true,true,true,31,"MFT/LPCC (Licensed, Waivered or Registered)",97550,"N/A",163.77000000000001,1]
[31,"MFT/LPCC (Licensed, Waivered or Registered)","G2011","N/A",71.2,1,true,true,true,true,true,31,"MFT/LPCC (Licensed, Waivered or Registered)","G2011","N/A",71.2,1]
[31,"MFT/LPCC (Licensed, Waivered or Registered)","T1017","N/A",106.81,{"$f":"IF(C11593=\"G0323\",9,1)","v":1},true,true,true,true,true,31,"MFT/LPCC (Licensed, Waivered or Registered)","T1017","N/A",106.81,{"$f":"IF(OR(N11593=\"H0036\",N11593=\"G0323\"),9,1)","v":1}]
[31,"Nurse Practitioner",90847,"N/A",680.25,1,true,true,true,true,true,31,"Nurse Practitioner",90847,"N/A",680.25,1]
[31,"Nurse Practitioner",90889,"N/A",204.08,1,true,true,true,true,true,31,"Nurse Practitioner",90889,"N/A",204.08,1]
[31,"Nurse Practitioner",99202,"N/A",299.31,1,true,true,true,true,true,31,"Nurse Practitioner",99202,"N/A",299.31,1]
[31,"Nurse Practitioner",99305,"N/A",571.41,1,true,true,true,true,true,31,"Nurse Practitioner",99305,"N/A",571.41,1]
[31,"Nurse Practitioner",99342,"N/A",612.23,1,true,true,true,true,true,31,"Nurse Practitioner",99342,"N/A",612.23,1]
[31,"Nurse Practitioner",99415,"N/A",816.3,1,true,true,true,true,true,31,"Nurse Practitioner",99415,"N/A",816.3,1]
[31,"Nurse Practitioner","G0540","N/A",204.08,1,true,true,true,true,true,31,"Nurse Practitioner","G0540","N/A",204.08,1]
[31,"Nurse Practitioner","H0034","HQ",45.35,1,true,true,true,true,true,31,"Nurse Practitioner","H0034","HQ",45.35,1]
[31,"Nurse Practitioner","H0050","N/A",204.08,1,true,true,true,true,true,31,"Nurse Practitioner","H0050","N/A",204.08,1]
[31,"Occupational Therapist",90785,"N/A",18.89,1,true,true,true,true,true,31,"Occupational Therapist",90785,"N/A",18.89,1]
[31,"Occupational Therapist",97551,"N/A",142.16999999999999,1,{"$f":"EXACT(A11715,L11715)","v":true},{"$f":"EXACT(B11715,M11715)","v":true},{"$f":"EXACT(C11715,N11715)","v":true},{"$f":"EXACT(D11715,O11715)","v":true},{"$f":"EXACT(E11715,P11715)","v":true},31,"Occupational Therapist",97551,"N/A",142.16999999999999,1]
[31,"Occupational Therapist","G0543","N/A",94.78,{"$f":"IF(C11721=\"G0323\",9,1)","v":1},true,true,true,true,true,31,"Occupational Therapist","G0543","N/A",94.78,{"$f":"IF(OR(N11721=\"H0036\",N11721=\"G0323\"),9,1)","v":1}]
[31,"Occupational Therapist","H2027","N/A",142.16999999999999,1,true,true,true,true,true,31,"Occupational Therapist","H2027","N/A",142.16999999999999,1]
[31,"Other Qualified Practitioner","H2014","HQ",17.86,1,true,true,true,true,true,31,"Other Qualified Practitioner","H2014","HQ",17.86,1]
[31,"Physician Assistant",90791,"N/A",736.23,1,true,true,true,true,true,31,"Physician Assistant",90791,"N/A",736.23,1]
[31,"Physician Assistant",90847,"N/A",613.53,1,true,true,true,true,true,31,"Physician Assistant",90847,"N/A",613.53,1]
[31,"Physician Assistant",98966,"N/A",98.16,1,true,true,true,true,true,31,"Physician Assistant",98966,"N/A",98.16,1]
[31,"Physician Assistant",99236,"N/A",1128.8900000000001,1,true,true,true,true,true,31,"Physician Assistant",99236,"N/A",1128.8900000000001,1]
[31,"Physician Assistant",99305,"N/A",515.36,1,true,true,true,true,true,31,"Physician Assistant",99305,"N/A",515.36,1]
[31,"Physician Assistant",99350,"N/A",822.12,1,true,true,true,true,true,31,"Physician Assistant",99350,"N/A",822.12,1]
[31,"Physician Assistant",99495,"N/A",662.61,1,true,true,true,true,true,31,"Physician Assistant",99495,"N/A",662.61,1]
[31,"Physician Assistant","G0540","N/A",184.06,1,true,true,true,true,true,31,"Physician Assistant","G0540","N/A",184.06,1]
[31,"Physician Assistant","H0033","N/A",184.06,1,true,true,true,true,true,31,"Physician Assistant","H0033","N/A",184.06,1]
[31,"Physician Assistant","T1007","N/A",184.06,1,true,true,true,true,true,31,"Physician Assistant","T1007","N/A",184.06,1]
[31,"Psychologist (Licensed or Waivered)",90885,"N/A",660.18,1,true,true,true,true,true,31,"Psychologist (Licensed or Waivered)",90885,"N/A",660.18,1]
[31,"Psychologist (Licensed or Waivered)",98968,"N/A",286.08,1,true,true,true,true,true,31,"Psychologist (Licensed or Waivered)",98968,"N/A",286.08,1]
[31,"Psychologist (Licensed or Waivered)","G0541","N/A",253.07,1,true,true,true,true,true,31,"Psychologist (Licensed or Waivered)","G0541","N/A",253.07,1]
[31,"Psychologist (Licensed or Waivered)","H0007","N/A",165.05,1,true,true,true,true,true,31,"Psychologist (Licensed or Waivered)","H0007","N/A",165.05,1]
[31,"Registered Nurse",96160,"N/A",166.7,1,true,true,true,true,true,31,"Registered Nurse",96160,"N/A",166.7,1]
[31,"Registered Nurse",96170,"N/A",333.39,1,true,true,true,true,true,31,"Registered Nurse",96170,"N/A",333.39,1]
[31,"Registered Nurse","G0539","N/A",255.6,1,true,true,true,true,true,31,"Registered Nurse","G0539","N/A",255.6,1]
[31,"Registered Nurse","H0049","N/A",166.7,1,true,true,true,true,true,31,"Registered Nurse","H0049","N/A",166.7,1]
[31,"Registered Nurse","T1007","N/A",166.7,1,true,true,true,true,true,31,"Registered Nurse","T1007","N/A",166.7,1]
[31,"Registered Pharmacist",97551,"N/A",196.44,1,true,true,true,true,true,31,"Registered Pharmacist",97551,"N/A",196.44,1]
[31,"Registered Pharmacist","H0034","HQ",43.65,1,true,true,true,true,true,31,"Registered Pharmacist","H0034","HQ",43.65,1]
[31,"Registered Pharmacist","H0050","N/A",196.44,1,true,true,true,true,true,31,"Registered Pharmacist","H0050","N/A",196.44,1]
[33,"Certified AOD Counselor","H0004","N/A",112.1,1,true,true,true,true,true,33,"Certified AOD Counselor","H0004","N/A",112.1,1]
[33,"Certified AOD Counselor","H2014","HQ",24.91,1,true,true,true,true,true,33,"Certified AOD Counselor","H2014","HQ",24.91,1]
[33,"LCSW (Licensed, Waivered or Registered)",90849,"N/A",176.58,1,true,true,true,true,true,33,"LCSW (Licensed, Waivered or Registered)",90849,"N/A",176.58,1]
[33,"LCSW (Licensed, Waivered or Registered)",96170,"N/A",283.8,1,true,true,true,true,true,33,"LCSW (Licensed, Waivered or Registered)",96170,"N/A",283.8,1]
[33,"LCSW (Licensed, Waivered or Registered)","G0540","N/A",141.9,1,true,true,true,true,true,33,"LCSW (Licensed, Waivered or Registered)","G0540","N/A",141.9,1]
[33,"LCSW (Licensed, Waivered or Registered)","H2015","N/A",141.9,1,true,true,true,true,true,33,"LCSW (Licensed, Waivered or Registered)","H2015","N/A",141.9,1]
[33,"LCSW (Licensed, Waivered or Registered)","T1007","N/A",141.9,1,true,true,true,true,true,33,"LCSW (Licensed, Waivered or Registered)","T1007","N/A",141.9,1]
[33,"Licensed Physician",90846,"N/A",1585.91,1,true,true,true,true,true,33,"Licensed Physician",90846,"N/A",1585.91,1]
[33,"Licensed Physician",97552,"N/A",317.18,{"$f":"IF(C12105=\"G0323\",9,1)","v":1},true,true,true,true,true,33,"Licensed Physician",97552,"N/A",317.18,{"$f":"IF(OR(N12105=\"H0036\",N12105=\"G0323\"),9,1)","v":1}]
[33,"Licensed Physician",99203,"N/A",1173.57,1,true,true,true,true,true,33,"Licensed Physician",99203,"N/A",1173.57,1]
[33,"Licensed Physician",99307,"N/A",475.77,1,true,true,true,true,true,33,"Licensed Physician",99307,"N/A",475.77,1]
[33,"Licensed Physician",99418,"N/A",475.77,1,true,true,true,true,true,33,"Licensed Physician",99418,"N/A",475.77,1]
[33,"Licensed Physician",99443,"N/A",824.67,1,true,true,true,true,true,33,"Licensed Physician",99443,"N/A",824.67,1]
[33,"Licensed Physician","G0541","N/A",729.52,1,true,true,true,true,true,33,"Licensed Physician","G0541","N/A",729.52,1]
[33,"Licensed Physician","H0034","HQ",105.73,{"$f":"IF(C12169=\"G0323\",9,1)","v":1},true,true,true,true,true,33,"Licensed Physician","H0034","HQ",105.73,{"$f":"IF(OR(N12169=\"H0036\",N12169=\"G0323\"),9,1)","v":1}]
[33,"Licensed Physician","T1013","N/A",31.88,1,true,true,true,true,true,33,"Licensed Physician","T1013","N/A",31.88,1]
[33,"Licensed Psychiatric Technician",90785,"N/A",18.89,1,true,true,true,true,true,33,"Licensed Psychiatric Technician",90785,"N/A",18.89,1]
[33,"Licensed Psychiatric Technician","G2011","N/A",58.02,1,true,true,true,true,true,33,"Licensed Psychiatric Technician","G2011","N/A",58.02,1]
[33,"Licensed Psychiatric Technician","H0049","N/A",87.03,1,true,true,true,true,true,33,"Licensed Psychiatric Technician","H0049","N/A",87.03,1]
[33,"Licensed Psychiatric Technician","T1017","N/A",87.03,1,true,true,true,true,true,33,"Licensed Psychiatric Technician","T1017","N/A",87.03,1]
[33,"Licensed Vocational Nurse",96160,"N/A",101.52,1,true,true,true,true,true,33,"Licensed Vocational Nurse",96160,"N/A",101.52,1]
[33,"Licensed Vocational Nurse","H0003","N/A",101.52,1,true,true,true,true,true,33,"Licensed Vocational Nurse","H0003","N/A",101.52,1]
[33,"Licensed Vocational Nurse","H0048","N/A",101.52,1,true,true,true,true,true,33,"Licensed Vocational Nurse","H0048","N/A",101.52,1]
[33,"Licensed Vocational Nurse","H2027","N/A",101.52,1,true,true,true,true,true,33,"Licensed Vocational Nurse","H2027","N/A",101.52,1]
[33,"Medical Assistant","H0003","N/A",79.98,1,true,true,true,true,true,33,"Medical Assistant","H0003","N/A",79.98,1]
[33,"Medical Assistant","T1013","N/A",31.88,1,true,true,true,true,true,33,"Medical Assistant","T1013","N/A",31.88,1]
[33,"MFT/LPCC (Licensed, Waivered or Registered)",90885,"N/A",567.59,1,true,true,true,true,true,33,"MFT/LPCC (Licensed, Waivered or Registered)",90885,"N/A",567.59,1]
[33,"MFT/LPCC (Licensed, Waivered or Registered)","G0541","N/A",217.58,1,true,true,true,true,true,33,"MFT/LPCC (Licensed, Waivered or Registered)","G0541","N/A",217.58,1]
[33,"MFT/LPCC (Licensed, Waivered or Registered)","H1000","N/A",141.9,1,true,true,true,true,true,33,"MFT/LPCC (Licensed, Waivered or Registered)","H1000","N/A",141.9,1]
[33,"MFT/LPCC (Licensed, Waivered or Registered)","T1017","N/A",141.9,1,true,true,true,true,true,33,"MFT/LPCC (Licensed, Waivered or Registered)","T1017","N/A",141.9,1]
[33,"Nurse Practitioner",90882,"N/A",271.13,1,{"$f":"EXACT(A12355,L12355)","v":true},{"$f":"EXACT(B12355,M12355)","v":true},{"$f":"EXACT(C12355,N12355)","v":true},{"$f":"EXACT(D12355,O12355)","v":true},{"$f":"EXACT(E12355,P12355)","v":true},33,"Nurse Practitioner",90882,"N/A",271.13,1]
[33,"Nurse Practitioner",96203,"N/A",60.25,1,true,true,true,true,true,33,"Nurse Practitioner",96203,"N/A",60.25,1]
[33,"Nurse Practitioner",99202,"N/A",397.66,1,true,true,true,true,true,33,"Nurse Practitioner",99202,"N/A",397.66,1]
[33,"Nurse Practitioner",99308,"N/A",451.88,1,true,true,true,true,true,33,"Nurse Practitioner",99308,"N/A",451.88,1]
[33,"Nurse Practitioner",99342,"N/A",813.39,1,true,true,true,true,true,33,"Nurse Practitioner",99342,"N/A",813.39,1]
[33,"Nurse Practitioner",99418,"N/A",271.13,1,true,true,true,true,true,33,"Nurse Practitioner",99418,"N/A",271.13,1]
[33,"Nurse Practitioner","G0316","N/A",271.13,1,true,true,true,true,true,33,"Nurse Practitioner","G0316","N/A",271.13,1]
[33,"Nurse Practitioner","H0034","HQ",60.25,1,true,true,true,true,true,33,"Nurse Practitioner","H0034","HQ",60.25,1]
[33,"Nurse Practitioner","H2014","HQ",60.25,1,true,true,true,true,true,33,"Nurse Practitioner","H2014","HQ",60.25,1]
[33,"Occupational Therapist",90785,"N/A",18.89,1,true,true,true,true,true,33,"Occupational Therapist",90785,"N/A",18.89,1]
[33,"Occupational Therapist","G0540","N/A",164.83,1,true,true,true,true,true,33,"Occupational Therapist","G0540","N/A",164.83,1]
[33,"Occupational Therapist","H2014","N/A",164.83,1,true,true,true,true,true,33,"Occupational Therapist","H2014","N/A",164.83,1]
[33,"Occupational Therapist","H2027","N/A",164.83,1,true,true,true,true,true,33,"Occupational Therapist","H2027","N/A",164.83,1]
[33,"Other Qualified Practitioner","H2017","HQ",20.7,1,true,true,true,true,true,33,"Other Qualified Practitioner","H2017","HQ",20.7,1]
[33,"Physician Assistant",90849,"N/A",304.31,1,true,true,true,true,true,33,"Physician Assistant",90849,"N/A",304.31,1]
[33,"Physician Assistant",90882,"N/A",244.53,1,true,true,true,true,true,33,"Physician Assistant",90882,"N/A",244.53,1]
[33,"Physician Assistant",99202,"N/A",358.65,1,true,true,true,true,true,33,"Physician Assistant",99202,"N/A",358.65,1]
[33,"Physician Assistant",99236,"N/A",1499.8,1,true,true,true,true,true,33,"Physician Assistant",99236,"N/A",1499.8,1]
[33,"Physician Assistant",99308,"N/A",407.55,{"$f":"IF(C12553=\"G0323\",9,1)","v":1},true,true,true,true,true,33,"Physician Assistant",99308,"N/A",407.55,{"$f":"IF(OR(N12553=\"H0036\",N12553=\"G0323\"),9,1)","v":1}]
[33,"Physician Assistant",99415,"N/A",978.13,1,true,true,true,true,true,33,"Physician Assistant",99415,"N/A",978.13,1]
[33,"Physician Assistant","G0396","N/A",374.95,1,true,true,true,true,true,33,"Physician Assistant","G0396","N/A",374.95,1]
[33,"Physician Assistant","G0543","N/A",163.02000000000001,1,true,true,true,true,true,33,"Physician Assistant","G0543","N/A",163.02000000000001,1]
[33,"Physician Assistant","H2021","N/A",244.53,1,true,true,true,true,true,33,"Physician Assistant","H2021","N/A",244.53,1]
[33,"Physician Assistant","T2021","N/A",244.53,1,true,true,true,true,true,33,"Physician Assistant","T2021","N/A",244.53,1]
[33,"Psychologist (Licensed or Waivered)",90885,"N/A",877.1,1,true,true,true,true,true,33,"Psychologist (Licensed or Waivered)",90885,"N/A",877.1,1]
[33,"Psychologist (Licensed or Waivered)",96171,"N/A",219.28,1,true,true,true,true,true,33,"Psychologist (Licensed or Waivered)",96171,"N/A",219.28,1]
[33,"Psychologist (Licensed or Waivered)","G2011","N/A",146.18,1,true,true,true,true,true,33,"Psychologist (Licensed or Waivered)","G2011","N/A",146.18,1]
[33,"Psychologist (Licensed or Waivered)","H2014","N/A",219.28,1,true,true,true,true,true,33,"Psychologist (Licensed or Waivered)","H2014","N/A",219.28,1]
[33,"Psychologist (Licensed or Waivered)","T2021","N/A",219.28,1,true,true,true,true,true,33,"Psychologist (Licensed or Waivered)","T2021","N/A",219.28,1]
[33,"Registered Nurse",99437,"N/A",442.93,1,true,true,true,true,true,33,"Registered Nurse",99437,"N/A",442.93,1]
[33,"Registered Nurse","G0542","N/A",221.47,1,true,true,true,true,true,33,"Registered Nurse","G0542","N/A",221.47,1]
[33,"Registered Nurse","H0005","N/A",49.21,1,true,true,true,true,true,33,"Registered Nurse","H0005","N/A",49.21,1]
[33,"Registered Pharmacist",90785,"N/A",18.89,1,true,true,true,true,true,33,"Registered Pharmacist",90785,"N/A",18.89,1]
[33,"Registered Pharmacist","G0396","N/A",400.18,1,true,true,true,true,true,33,"Registered Pharmacist","G0396","N/A",400.18,1]
[33,"Registered Pharmacist","H0003","N/A",260.99,1,true,true,true,true,true,33,"Registered Pharmacist","H0003","N/A",260.99,1]
[34,"Certified AOD Counselor","G0397","N/A",346.56,1,true,true,true,true,true,34,"Certified AOD Counselor","G0397","N/A",346.56,1]
[34,"Certified AOD Counselor","H0049","N/A",86.64,1,true,true,true,true,true,34,"Certified AOD Counselor","H0049","N/A",86.64,1]
[34,"Community Health Worker",98960,"N/A",161.1,1,true,true,true,true,true,34,"Community Health Worker",98960,"N/A",161.1,1]
[34,"LCSW (Licensed, Waivered or Registered)",90887,"N/A",348.17,1,true,true,true,true,true,34,"LCSW (Licensed, Waivered or Registered)",90887,"N/A",348.17,1]
[34,"LCSW (Licensed, Waivered or Registered)",96203,"N/A",23.21,1,true,true,true,true,true,34,"LCSW (Licensed, Waivered or Registered)",96203,"N/A",23.21,1]
[34,"LCSW (Licensed, Waivered or Registered)","G2011","N/A",69.63,1,true,true,true,true,true,34,"LCSW (Licensed, Waivered or Registered)","G2011","N/A",69.63,1]
[34,"LCSW (Licensed, Waivered or Registered)","H2021","N/A",104.45,1,true,true,true,true,true,34,"LCSW (Licensed, Waivered or Registered)","H2021","N/A",104.45,1]
[34,"LCSW (Licensed, Waivered or Registered)","T1007","N/A",104.45,1,true,true,true,true,true,34,"LCSW (Licensed, Waivered or Registered)","T1007","N/A",104.45,1]
[34,"Licensed Physician",90865,"N/A",2408.06,1,true,true,true,true,true,34,"Licensed Physician",90865,"N/A",2408.06,1]
[34,"Licensed Physician",99204,"N/A",1391.32,1,true,true,true,true,true,34,"Licensed Physician",99204,"N/A",1391.32,1]
[34,"Licensed Physician",99213,"N/A",668.9,1,true,true,true,true,true,34,"Licensed Physician",99213,"N/A",668.9,1]
[34,"Licensed Physician",99310,"N/A",1391.32,1,true,true,true,true,true,34,"Licensed Physician",99310,"N/A",1391.32,1]
[34,"Licensed Physician",99418,"N/A",401.34,1,true,true,true,true,true,34,"Licensed Physician",99418,"N/A",401.34,1]
[34,"Licensed Physician","G0397","N/A",1605.37,1,true,true,true,true,true,34,"Licensed Physician","G0397","N/A",1605.37,1]
[34,"Licensed Physician","G2011","N/A",267.56,1,true,true,true,true,true,34,"Licensed Physician","G2011","N/A",267.56,1]
[34,"Licensed Physician","H0034","HQ",89.19,1,true,true,true,true,true,34,"Licensed Physician","H0034","HQ",89.19,1]
[34,"Licensed Physician","T2021","HQ",89.19,{"$f":"IF(C12937=\"G0323\",9,1)","v":1},true,true,true,true,true,34,"Licensed Physician","T2021","HQ",89.19,{"$f":"IF(OR(N12937=\"H0036\",N12937=\"G0323\"),9,1)","v":1}]
[34,"Licensed Psychiatric Technician",90785,"N/A",18.89,1,true,true,true,true,true,34,"Licensed Psychiatric Technician",90785,"N/A",18.89,1]
[34,"Licensed Psychiatric Technician","G0540","N/A",73.42,1,true,true,true,true,true,34,"Licensed Psychiatric Technician","G0540","N/A",73.42,1]
[34,"Licensed Psychiatric Technician","H2014","N/A",73.42,1,true,true,true,true,true,34,"Licensed Psychiatric Technician","H2014","N/A",73.42,1]
[34,"Licensed Psychiatric Technician","T1017","N/A",73.42,1,true,true,true,true,true,34,"Licensed Psychiatric Technician","T1017","N/A",73.42,1]
[34,"Licensed Vocational Nurse",96202,"N/A",76.12,1,true,true,true,true,true,34,"Licensed Vocational Nurse",96202,"N/A",76.12,1]
[34,"Licensed Vocational Nurse","H0003","N/A",85.64,1,true,true,true,true,true,34,"Licensed Vocational Nurse","H0003","N/A",85.64,1]
[34,"Licensed Vocational Nurse","H1000","N/A",85.64,1,true,true,true,true,true,34,"Licensed Vocational Nurse","H1000","N/A",85.64,1]
[34,"Licensed Vocational Nurse","T1013","N/A",31.88,1,true,true,true,true,true,34,"Licensed Vocational Nurse","T1013","N/A",31.88,1]
[34,"Medical Assistant","H0003","N/A",58.87,1,true,true,true,true,true,34,"Medical Assistant","H0003","N/A",58.87,1]
[34,"MFT/LPCC (Licensed, Waivered or Registered)",90849,"N/A",129.97999999999999,1,true,true,true,true,true,34,"MFT/LPCC (Licensed, Waivered or Registered)",90849,"N/A",129.97999999999999,1]
[34,"MFT/LPCC (Licensed, Waivered or Registered)",98967,"N/A",111.41,1,true,true,true,true,true,34,"MFT/LPCC (Licensed, Waivered or Registered)",98967,"N/A",111.41,1]
[34,"MFT/LPCC (Licensed, Waivered or Registered)","G2011","N/A",69.63,1,true,true,true,true,true,34,"MFT/LPCC (Licensed, Waivered or Registered)","G2011","N/A",69.63,1]
[34,"MFT/LPCC (Licensed, Waivered or Registered)","H2015","N/A",104.45,1,true,true,true,true,true,34,"MFT/LPCC (Licensed, Waivered or Registered)","H2015","N/A",104.45,1]
[34,"MFT/LPCC (Licensed, Waivered or Registered)","T1017","N/A",104.45,1,true,true,true,true,true,34,"MFT/LPCC (Licensed, Waivered or Registered)","T1017","N/A",104.45,1]
[34,"Nurse Practitioner",90846,"N/A",665.26,1,true,true,true,true,true,34,"Nurse Practitioner",90846,"N/A",665.26,1]
[34,"Nurse Practitioner",96202,"N/A",177.4,1,true,true,true,true,true,34,"Nurse Practitioner",96202,"N/A",177.4,1]
[34,"Nurse Practitioner",99205,"N/A",891.45,1,true,true,true,true,true,34,"Nurse Practitioner",99205,"N/A",891.45,1]
[34,"Nurse Practitioner",99304,"N/A",399.16,1,true,true,true,true,true,34,"Nurse Practitioner",99304,"N/A",399.16,1]
[34,"Nurse Practitioner",99417,"N/A",199.58,1,true,true,true,true,true,34,"Nurse Practitioner",99417,"N/A",199.58,1]
[34,"Nurse Practitioner",99437,"N/A",399.16,1,true,true,true,true,true,34,"Nurse Practitioner",99437,"N/A",399.16,1]
[34,"Nurse Practitioner","H0003","N/A",199.58,1,true,true,true,true,true,34,"Nurse Practitioner","H0003","N/A",199.58,1]
[34,"Nurse Practitioner","H0050","N/A",199.58,1,{"$f":"EXACT(A13187,L13187)","v":true},{"$f":"EXACT(B13187,M13187)","v":true},{"$f":"EXACT(C13187,N13187)","v":true},{"$f":"EXACT(D13187,O13187)","v":true},{"$f":"EXACT(E13187,P13187)","v":true},34,"Nurse Practitioner","H0050","N/A",199.58,1]
[34,"Nurse Practitioner","T1006","N/A",199.58,1,true,true,true,true,true,34,"Nurse Practitioner","T1006","N/A",199.58,1]
[34,"Occupational Therapist",90785,"N/A",18.89,1,true,true,true,true,true,34,"Occupational Therapist",90785,"N/A",18.89,1]
[34,"Occupational Therapist","G0543","N/A",92.69,1,true,true,true,true,true,34,"Occupational Therapist","G0543","N/A",92.69,1]
[34,"Occupational Therapist","H2017","N/A",139.04,1,true,true,true,true,true,34,"Occupational Therapist","H2017","N/A",139.04,1]
[34,"Other Qualified Practitioner","H0050","N/A",78.59,1,true,true,true,true,true,34,"Other Qualified Practitioner","H0050","N/A",78.59,1]
[34,"Other Qualified Practitioner","H2014","N/A",78.59,1,true,true,true,true,true,34,"Other Qualified Practitioner","H2014","N/A",78.59,1]
[34,"Physician Assistant",90849,"N/A",224,1,true,true,true,true,true,34,"Physician Assistant",90849,"N/A",224,1]
[34,"Physician Assistant",90889,"N/A",180,1,true,true,true,true,true,34,"Physician Assistant",90889,"N/A",180,1]
[34,"Physician Assistant",97552,"N/A",120,1,true,true,true,true,true,34,"Physician Assistant",97552,"N/A",120,1]
[34,"Physician Assistant",99236,"N/A",1104,1,true,true,true,true,true,34,"Physician Assistant",99236,"N/A",1104,1]
[34,"Physician Assistant",99341,"N/A",264,1,true,true,true,true,true,34,"Physician Assistant",99341,"N/A",264,1]
[34,"Physician Assistant",99415,"N/A",720,1,true,true,true,true,true,34,"Physician Assistant",99415,"N/A",720,1]
[34,"Physician Assistant","G0540","N/A",180,1,true,true,true,true,true,34,"Physician Assistant","G0540","N/A",180,1]
[34,"Physician Assistant","H0008","N/A",180,1,true,true,true,true,true,34,"Physician Assistant","H0008","N/A",180,1]
[34,"Physician Assistant","H2021","N/A",180,1,true,true,true,true,true,34,"Physician Assistant","H2021","N/A",180,1]
[34,"Physician Assistant","T2024","N/A",180,1,true,true,true,true,true,34,"Physician Assistant","T2024","N/A",180,1]
[34,"Psychologist (Licensed or Waivered)",96131,"N/A",645.63,1,{"$f":"EXACT(A13379,L13379)","v":true},{"$f":"EXACT(B13379,M13379)","v":true},{"$f":"EXACT(C13379,N13379)","v":true},{"$f":"EXACT(D13379,O13379)","v":true},{"$f":"EXACT(E13379,P13379)","v":true},34,"Psychologist (Licensed or Waivered)",96131,"N/A",645.63,1]
[34,"Psychologist (Licensed or Waivered)",97550,"N/A",247.49,{"$f":"IF(C13385=\"G0323\",9,1)","v":1},true,true,true,true,true,34,"Psychologist (Licensed or Waivered)",97550,"N/A",247.49,{"$f":"IF(OR(N13385=\"H0036\",N13385=\"G0323\"),9,1)","v":1}]
[34,"Psychologist (Licensed or Waivered)","H0004","N/A",161.41,1,true,true,true,true,true,34,"Psychologist (Licensed or Waivered)","H0004","N/A",161.41,1]
[34,"Psychologist (Licensed or Waivered)","H2014","N/A",161.41,1,true,true,true,true,true,34,"Psychologist (Licensed or Waivered)","H2014","N/A",161.41,1]
[34,"Psychologist (Licensed or Waivered)","T2024","N/A",161.41,1,true,true,true,true,true,34,"Psychologist (Licensed or Waivered)","T2024","N/A",161.41,1]
[34,"Registered Nurse",97550,"N/A",249.96,1,true,true,true,true,true,34,"Registered Nurse",97550,"N/A",249.96,1]
[34,"Registered Nurse","H0001","N/A",163.02000000000001,1,true,true,true,true,true,34,"Registered Nurse","H0001","N/A",163.02000000000001,1]
[34,"Registered Nurse","H0009","N/A",163.02000000000001,1,true,true,true,true,true,34,"Registered Nurse","H0009","N/A",163.02000000000001,1]
[34,"Registered Pharmacist",90785,"N/A",18.89,1,true,true,true,true,true,34,"Registered Pharmacist",90785,"N/A",18.89,1]
[34,"Registered Pharmacist","G0540","N/A",192.11,1,true,true,true,true,true,34,"Registered Pharmacist","G0540","N/A",192.11,1]
[34,"Registered Pharmacist","H0034","N/A",192.11,1,true,true,true,true,true,34,"Registered Pharmacist","H0034","N/A",192.11,1]
[34,"Registered Pharmacist","H2017","HQ",42.69,1,true,true,true,true,true,34,"Registered Pharmacist","H2017","HQ",42.69,1]
[35,"Certified AOD Counselor","H2014","N/A",82.66,1,true,true,true,true,true,35,"Certified AOD Counselor","H2014","N/A",82.66,1]
[35,"Certified AOD Counselor","H2021","N/A",82.66,1,true,true,true,true,true,35,"Certified AOD Counselor","H2021","N/A",82.66,1]
[35,"Community Health Worker","G0022","N/A",153.69999999999999,1,true,true,true,true,true,35,"Community Health Worker","G0022","N/A",153.69999999999999,1]
[35,"LCSW (Licensed, Waivered or Registered)",97552,"N/A",66.430000000000007,1,true,true,true,true,true,35,"LCSW (Licensed, Waivered or Registered)",97552,"N/A",66.430000000000007,1]
[35,"LCSW (Licensed, Waivered or Registered)","G0543","N/A",66.430000000000007,1,true,true,true,true,true,35,"LCSW (Licensed, Waivered or Registered)","G0543","N/A",66.430000000000007,1]
[35,"LCSW (Licensed, Waivered or Registered)","H0049","N/A",99.65,1,true,true,true,true,true,35,"LCSW (Licensed, Waivered or Registered)","H0049","N/A",99.65,1]
[35,"LCSW (Licensed, Waivered or Registered)","T2021","HQ",22.14,1,true,true,true,true,true,35,"LCSW (Licensed, Waivered or Registered)","T2021","HQ",22.14,1]
[35,"Licensed Physician",90887,"N/A",1276.32,1,true,true,true,true,true,35,"Licensed Physician",90887,"N/A",1276.32,1]
[35,"Licensed Physician",96171,"N/A",382.9,1,true,true,true,true,true,35,"Licensed Physician",96171,"N/A",382.9,1]
[35,"Licensed Physician",99213,"N/A",638.16,1,true,true,true,true,true,35,"Licensed Physician",99213,"N/A",638.16,1]
[35,"Licensed Physician",99344,"N/A",1710.26,1,true,true,true,true,true,35,"Licensed Physician",99344,"N/A",1710.26,1]
[35,"Licensed Physician",99418,"N/A",382.9,1,true,true,true,true,true,35,"Licensed Physician",99418,"N/A",382.9,1]
[35,"Licensed Physician","G0541","N/A",587.11,1,true,true,true,true,true,35,"Licensed Physician","G0541","N/A",587.11,1]
[35,"Licensed Physician","H0004","N/A",382.9,1,true,true,true,true,true,35,"Licensed Physician","H0004","N/A",382.9,1]
[35,"Licensed Physician","H1000","N/A",382.9,1,true,true,true,true,true,35,"Licensed Physician","H1000","N/A",382.9,1]
[35,"Licensed Psychiatric Technician",90785,"N/A",18.89,1,true,true,true,true,true,35,"Licensed Psychiatric Technician",90785,"N/A",18.89,1]
[35,"Licensed Psychiatric Technician","G0397","N/A",280.17,1,true,true,true,true,true,35,"Licensed Psychiatric Technician","G0397","N/A",280.17,1]
[35,"Licensed Psychiatric Technician","G0543","N/A",46.7,1,true,true,true,true,true,35,"Licensed Psychiatric Technician","G0543","N/A",46.7,1]
[35,"Licensed Psychiatric Technician","H2017","N/A",70.040000000000006,1,true,true,true,true,true,35,"Licensed Psychiatric Technician","H2017","N/A",70.040000000000006,1]
[35,"Licensed Vocational Nurse",96160,"N/A",81.7,1,true,true,true,true,true,35,"Licensed Vocational Nurse",96160,"N/A",81.7,1]
[35,"Licensed Vocational Nurse",97551,"N/A",81.7,1,true,true,true,true,true,35,"Licensed Vocational Nurse",97551,"N/A",81.7,1]
[35,"Licensed Vocational Nurse","H0003","N/A",81.7,1,true,true,true,true,true,35,"Licensed Vocational Nurse","H0003","N/A",81.7,1]
[35,"Licensed Vocational Nurse","H2027","N/A",81.7,{"$f":"IF(C13769=\"G0323\",9,1)","v":1},true,true,true,true,true,35,"Licensed Vocational Nurse","H2027","N/A",81.7,{"$f":"IF(OR(N13769=\"H0036\",N13769=\"G0323\"),9,1)","v":1}]
[35,"Medical Assistant",90882,"N/A",56.17,1,true,true,true,true,true,35,"Medical Assistant",90882,"N/A",56.17,1]
[35,"Medical Assistant","T1013","N/A",31.88,1,true,true,true,true,true,35,"Medical Assistant","T1013","N/A",31.88,1]
[35,"MFT/LPCC (Licensed, Waivered or Registered)",90887,"N/A",332.17,1,true,true,true,true,true,35,"MFT/LPCC (Licensed, Waivered or Registered)",90887,"N/A",332.17,1]
[35,"MFT/LPCC (Licensed, Waivered or Registered)",98967,"N/A",106.29,1,true,true,true,true,true,35,"MFT/LPCC (Licensed, Waivered or Registered)",98967,"N/A",106.29,1]
[35,"MFT/LPCC (Licensed, Waivered or Registered)","G0540","N/A",99.65,1,true,true,true,true,true,35,"MFT/LPCC (Licensed, Waivered or Registered)","G0540","N/A",99.65,1]
[35,"MFT/LPCC (Licensed, Waivered or Registered)","H2021","N/A",99.65,1,true,true,true,true,true,35,"MFT/LPCC (Licensed, Waivered or Registered)","H2021","N/A",99.65,1]
[35,"MFT/LPCC (Licensed, Waivered or Registered)","T1017","N/A",99.65,1,true,true,true,true,true,35,"MFT/LPCC (Licensed, Waivered or Registered)","T1017","N/A",99.65,1]
[35,"Nurse Practitioner",90865,"N/A",1142.43,1,true,true,true,true,true,35,"Nurse Practitioner",90865,"N/A",1142.43,1]
[35,"Nurse Practitioner",96202,"N/A",169.25,1,true,true,true,true,true,35,"Nurse Practitioner",96202,"N/A",169.25,1]
[35,"Nurse Practitioner",99236,"N/A",1167.82,1,true,true,true,true,true,35,"Nurse Practitioner",99236,"N/A",1167.82,1]
[35,"Nurse Practitioner",99307,"N/A",190.41,1,true,true,true,true,true,35,"Nurse Practitioner",99307,"N/A",190.41,1]
[35,"Nurse Practitioner",99417,"N/A",190.41,1,true,true,true,true,true,35,"Nurse Practitioner",99417,"N/A",190.41,1]
[35,"Nurse Practitioner","G0316","N/A",190.41,1,true,true,true,true,true,35,"Nurse Practitioner","G0316","N/A",190.41,1]
[35,"Nurse Practitioner","H0003","N/A",190.41,1,true,true,true,true,true,35,"Nurse Practitioner","H0003","N/A",190.41,1]
[35,"Nurse Practitioner","H2014","HQ",42.31,1,true,true,true,true,true,35,"Nurse Practitioner","H2014","HQ",42.31,1]
[35,"Nurse Practitioner","T1017","N/A",190.41,1,true,true,true,true,true,35,"Nurse Practitioner","T1017","N/A",190.41,1]
[35,"Occupational Therapist",90785,"N/A",18.89,1,{"$f":"EXACT(A13955,L13955)","v":true},{"$f":"EXACT(B13955,M13955)","v":true},{"$f":"EXACT(C13955,N13955)","v":true},{"$f":"EXACT(D13955,O13955)","v":true},{"$f":"EXACT(E13955,P13955)","v":true},35,"Occupational Therapist",90785,"N/A",18.89,1]
[35,"Occupational Therapist","G0539","N/A",203.4,1,true,true,true,true,true,35,"Occupational Therapist","G0539","N/A",203.4,1]
[35,"Occupational Therapist","H0033","N/A",132.65,1,true,true,true,true,true,35,"Occupational Therapist","H0033","N/A",132.65,1]
[35,"Other Qualified Practitioner","G0396","N/A",114.96,1,true,true,true,true,true,35,"Other Qualified Practitioner","G0396","N/A",114.96,1]
[35,"Other Qualified Practitioner","H2017","N/A",74.97,1,true,true,true,true,true,35,"Other Qualified Practitioner","H2017","N/A",74.97,1]
[35,"Physician Assistant",90849,"N/A",213.71,1,true,true,true,true,true,35,"Physician Assistant",90849,"N/A",213.71,1]
[35,"Physician Assistant",96160,"N/A",171.73,{"$f":"IF(C14025=\"G0323\",9,1)","v":1},true,true,true,true,true,35,"Physician Assistant",96160,"N/A",171.73,{"$f":"IF(OR(N14025=\"H0036\",N14025=\"G0323\"),9,1)","v":1}]
[35,"Physician Assistant",98968,"N/A",297.66000000000003,1,true,true,true,true,true,35,"Physician Assistant",98968,"N/A",297.66000000000003,1]
[35,"Physician Assistant",99236,"N/A",1053.26,1,true,true,true,true,true,35,"Physician Assistant",99236,"N/A",1053.26,1]
[35,"Physician Assistant",99350,"N/A",767.05,1,true,true,true,true,true,35,"Physician Assistant",99350,"N/A",767.05,1]
[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","G0543","N/A",114.49,1,true,true,true,true,true,35,"Physician Assistant","G0543","N/A",114.49,1]
[35,"Physician Assistant","H0034","N/A",171.73,1,true,true,true,true,true,35,"Physician Assistant","H0034","N/A",171.73,1]
[35,"Physician Assistant","H2021","N/A",171.73,1,true,true,true,true,true,35,"Physician Assistant","H2021","N/A",171.73,1]
[35,"Physician Assistant","T1017","N/A",171.73,1,true,true,true,true,true,35,"Physician Assistant","T1017","N/A",171.73,1]
[35,"Psychologist (Licensed or Waivered)",96131,"N/A",615.95000000000005,1,true,true,true,true,true,35,"Psychologist (Licensed or Waivered)",96131,"N/A",615.95000000000005,1]
[35,"Psychologist (Licensed or Waivered)",98966,"N/A",82.13,1,true,true,true,true,true,35,"Psychologist (Licensed or Waivered)",98966,"N/A",82.13,1]
[35,"Psychologist (Licensed or Waivered)","G0543","N/A",102.66,1,true,true,true,true,true,35,"Psychologist (Licensed or Waivered)","G0543","N/A",102.66,1]
[35,"Psychologist (Licensed or Waivered)","H2014","N/A",153.99,1,true,true,true,true,true,35,"Psychologist (Licensed or Waivered)","H2014","N/A",153.99,1]
[35,"Registered Nurse",90887,"N/A",518.42999999999995,1,true,true,true,true,true,35,"Registered Nurse",90887,"N/A",518.42999999999995,1]
[35,"Registered Nurse","G0539","N/A",238.48,1,true,true,true,true,true,35,"Registered Nurse","G0539","N/A",238.48,1]
[35,"Registered Nurse","H0005","N/A",34.56,1,true,true,true,true,true,35,"Registered Nurse","H0005","N/A",34.56,1]
[35,"Registered Nurse","H1000","N/A",155.53,1,true,true,true,true,true,35,"Registered Nurse","H1000","N/A",155.53,1]
[35,"Registered Pharmacist",90785,"N/A",18.89,1,true,true,true,true,true,35,"Registered Pharmacist",90785,"N/A",18.89,1]
[35,"Registered Pharmacist","G0543","N/A",122.19,1,true,true,true,true,true,35,"Registered Pharmacist","G0543","N/A",122.19,1]
[35,"Registered Pharmacist","H0034","N/A",183.28,1,true,true,true,true,true,35,"Registered Pharmacist","H0034","N/A",183.28,1]
[35,"Registered Pharmacist","T1013","N/A",31.88,1,true,true,true,true,true,35,"Registered Pharmacist","T1013","N/A",31.88,1]
[36,"Certified AOD Counselor","H2017","N/A",92.08,1,true,true,true,true,true,36,"Certified AOD Counselor","H2017","N/A",92.08,1]
[36,"Community Health Worker","G0022","N/A",171.22,1,true,true,true,true,true,36,"Community Health Worker","G0022","N/A",171.22,1]
[36,"LCSW (Licensed, Waivered or Registered)",90846,"N/A",370.03,1,true,true,true,true,true,36,"LCSW (Licensed, Waivered or Registered)",90846,"N/A",370.03,1]
[36,"LCSW (Licensed, Waivered or Registered)",99368,"N/A",444.04,1,true,true,true,true,true,36,"LCSW (Licensed, Waivered or Registered)",99368,"N/A",444.04,1]
[36,"LCSW (Licensed, Waivered or Registered)","H0004","N/A",111.01,1,true,true,true,true,true,36,"LCSW (Licensed, Waivered or Registered)","H0004","N/A",111.01,1]
[36,"LCSW (Licensed, Waivered or Registered)","H2014","N/A",111.01,1,true,true,true,true,true,36,"LCSW (Licensed, Waivered or Registered)","H2014","N/A",111.01,1]
[36,"LCSW (Licensed, Waivered or Registered)","T2021","HQ",24.67,1,true,true,true,true,true,36,"LCSW (Licensed, Waivered or Registered)","T2021","HQ",24.67,1]
[36,"Licensed Physician",96131,"N/A",1706.19,1,true,true,true,true,true,36,"Licensed Physician",96131,"N/A",1706.19,1]
[36,"Licensed Physician",97550,"N/A",654.04,1,true,true,true,true,true,36,"Licensed Physician",97550,"N/A",654.04,1]
[36,"Licensed Physician",99234,"N/A",1620.88,1,true,true,true,true,true,36,"Licensed Physician",99234,"N/A",1620.88,1]
[36,"Licensed Physician",99348,"N/A",995.28,1,true,true,true,true,true,36,"Licensed Physician",99348,"N/A",995.28,1]
[36,"Licensed Physician",99441,"N/A",227.49,1,true,true,true,true,true,36,"Licensed Physician",99441,"N/A",227.49,1]
[36,"Licensed Physician",99491,"N/A",853.1,1,true,true,true,true,true,36,"Licensed Physician",99491,"N/A",853.1,1]
[36,"Licensed Physician","H0003","N/A",426.55,1,true,true,true,true,true,36,"Licensed Physician","H0003","N/A",426.55,1]
[36,"Licensed Physician","H2015","N/A",426.55,1,true,true,true,true,true,36,"Licensed Physician","H2015","N/A",426.55,1]
[36,"Licensed Physician","T1006","N/A",426.55,1,true,true,true,true,true,36,"Licensed Physician","T1006","N/A",426.55,1]
[36,"Licensed Psychiatric Technician",96170,"N/A",156.06,1,true,true,true,true,true,36,"Licensed Psychiatric Technician",96170,"N/A",156.06,1]
[36,"Licensed Psychiatric Technician","H0003","N/A",78.03,1,true,true,true,true,true,36,"Licensed Psychiatric Technician","H0003","N/A",78.03,1]
[36,"Licensed Psychiatric Technician","H0034","HQ",17.34,1,true,true,true,true,true,36,"Licensed Psychiatric Technician","H0034","HQ",17.34,1]
[36,"Licensed Vocational Nurse",96160,"N/A",91.02,1,true,true,true,true,true,36,"Licensed Vocational Nurse",96160,"N/A",91.02,1]
[36,"Licensed Vocational Nurse","G0397","N/A",364.07,1,true,true,true,true,true,36,"Licensed Vocational Nurse","G0397","N/A",364.07,1]
[36,"Licensed Vocational Nurse","H0033","N/A",91.02,1,true,true,true,true,true,36,"Licensed Vocational Nurse","H0033","N/A",91.02,1]
[36,"Licensed Vocational Nurse","T1013","N/A",31.88,1,true,true,true,true,true,36,"Licensed Vocational Nurse","T1013","N/A",31.88,1]
[36,"Medical Assistant",96171,"N/A",62.57,1,true,true,true,true,true,36,"Medical Assistant",96171,"N/A",62.57,1]
[36,"Medical Assistant","H0048","N/A",62.57,1,true,true,true,true,true,36,"Medical Assistant","H0048","N/A",62.57,1]
[36,"MFT/LPCC (Licensed, Waivered or Registered)",96170,"N/A",222.02,1,true,true,true,true,true,36,"MFT/LPCC (Licensed, Waivered or Registered)",96170,"N/A",222.02,1]
[36,"MFT/LPCC (Licensed, Waivered or Registered)",98967,"N/A",118.41,1,true,true,true,true,true,36,"MFT/LPCC (Licensed, Waivered or Registered)",98967,"N/A",118.41,1]
[36,"MFT/LPCC (Licensed, Waivered or Registered)","G0543","N/A",74.010000000000005,1,true,true,true,true,true,36,"MFT/LPCC (Licensed, Waivered or Registered)","G0543","N/A",74.010000000000005,1]
[36,"MFT/LPCC (Licensed, Waivered or Registered)","T1006","N/A",111.01,1,true,true,true,true,true,36,"MFT/LPCC (Licensed, Waivered or Registered)","T1006","N/A",111.01,1]
[36,"MFT/LPCC (Licensed, Waivered or Registered)","T2024","N/A",111.01,1,true,true,true,true,true,36,"MFT/LPCC (Licensed, Waivered or Registered)","T2024","N/A",111.01,1]
[36,"Nurse Practitioner",90887,"N/A",707.04,1,true,true,true,true,true,36,"Nurse Practitioner",90887,"N/A",707.04,1]
[36,"Nurse Practitioner",96202,"N/A",188.54,1,true,true,true,true,true,36,"Nurse Practitioner",96202,"N/A",188.54,1]
[36,"Nurse Practitioner",99304,"N/A",424.23,1,true,true,true,true,true,36,"Nurse Practitioner",99304,"N/A",424.23,1]
[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",99417,"N/A",212.11,1,true,true,true,true,true,36,"Nurse Practitioner",99417,"N/A",212.11,1]
[36,"Nurse Practitioner","G0539","N/A",325.24,1,true,true,true,true,true,36,"Nurse Practitioner","G0539","N/A",325.24,1]
[36,"Nurse Practitioner","H0003","N/A",212.11,1,true,true,true,true,true,36,"Nurse Practitioner","H0003","N/A",212.11,1]
[36,"Nurse Practitioner","H0049","N/A",212.11,1,true,true,true,true,true,36,"Nurse Practitioner","H0049","N/A",212.11,1]
[36,"Nurse Practitioner","T2021",22,215.12,1,true,true,true,true,true,36,"Nurse Practitioner","T2021",22,215.12,1]
[36,"Occupational Therapist",90785,"N/A",18.89,1,true,true,true,true,true,36,"Occupational Therapist",90785,"N/A",18.89,1]
[36,"Occupational Therapist","G0542","N/A",147.77000000000001,1,true,true,true,true,true,36,"Occupational Therapist","G0542","N/A",147.77000000000001,1]
[36,"Occupational Therapist","T2024","N/A",147.77000000000001,1,true,true,true,true,true,36,"Occupational Therapist","T2024","N/A",147.77000000000001,1]
[36,"Other Qualified Practitioner","H2014","N/A",83.52,1,true,true,true,true,true,36,"Other Qualified Practitioner","H2014","N/A",83.52,1]
[36,"Other Qualified Practitioner","H2027","N/A",83.52,1,true,true,true,true,true,36,"Other Qualified Practitioner","H2027","N/A",83.52,1]
[36,"Physician Assistant",90849,"N/A",238.07,1,true,true,true,true,true,36,"Physician Assistant",90849,"N/A",238.07,1]
[36,"Physician Assistant",97552,"N/A",127.54,1,true,true,true,true,true,36,"Physician Assistant",97552,"N/A",127.54,1]
[36,"Physician Assistant",99204,"N/A",663.19,1,true,true,true,true,true,36,"Physician Assistant",99204,"N/A",663.19,1]
[36,"Physician Assistant",99341,"N/A",280.58,1,true,true,true,true,true,36,"Physician Assistant",99341,"N/A",280.58,1]
[36,"Physician Assistant",99409,"N/A",765.22,1,true,true,true,true,true,36,"Physician Assistant",99409,"N/A",765.22,1]
[36,"Physician Assistant",99496,"N/A",956.53,1,true,true,true,true,true,36,"Physician Assistant",99496,"N/A",956.53,1]
[36,"Physician Assistant","G0539","N/A",293.33,1,true,true,true,true,true,36,"Physician Assistant","G0539","N/A",293.33,1]
[36,"Physician Assistant","H0049","N/A",191.31,1,true,true,true,true,true,36,"Physician Assistant","H0049","N/A",191.31,1]
[36,"Physician Assistant","H2021","N/A",191.31,1,true,true,true,true,true,36,"Physician Assistant","H2021","N/A",191.31,1]
[36,"Physician Assistant","T2021",22,194.32,1,true,true,true,true,true,36,"Physician Assistant","T2021",22,194.32,1]
[36,"Psychologist (Licensed or Waivered)",96131,"N/A",686.17,1,true,true,true,true,true,36,"Psychologist (Licensed or Waivered)",96131,"N/A",686.17,1]
[36,"Psychologist (Licensed or Waivered)","G0540","N/A",171.54,1,true,true,true,true,true,36,"Psychologist (Licensed or Waivered)","G0540","N/A",171.54,1]
[36,"Psychologist (Licensed or Waivered)","H0003","N/A",171.54,1,true,true,true,true,true,36,"Psychologist (Licensed or Waivered)","H0003","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 Nurse",97550,"N/A",265.66000000000003,1,true,true,true,true,true,36,"Registered Nurse",97550,"N/A",265.66000000000003,1]
[36,"Registered Nurse","G0539","N/A",265.66000000000003,1,true,true,true,true,true,36,"Registered Nurse","G0539","N/A",265.66000000000003,1]
[36,"Registered Nurse","H0009","N/A",173.26,1,true,true,true,true,true,36,"Registered Nurse","H0009","N/A",173.26,1]
[36,"Registered Nurse","H2015","N/A",173.26,1,true,true,true,true,true,36,"Registered Nurse","H2015","N/A",173.26,1]
[36,"Registered Pharmacist",90785,"N/A",18.89,1,true,true,true,true,true,36,"Registered Pharmacist",90785,"N/A",18.89,1]
[36,"Registered Pharmacist","G0539","N/A",313.07,1,true,true,true,true,true,36,"Registered Pharmacist","G0539","N/A",313.07,1]
[36,"Registered Pharmacist","H0034","N/A",204.18,1,true,true,true,true,true,36,"Registered Pharmacist","H0034","N/A",204.18,1]
[37,"Certified AOD Counselor",90882,"N/A",80.739999999999995,1,true,true,true,true,true,37,"Certified AOD Counselor",90882,"N/A",80.739999999999995,1]
[37,"Certified AOD Counselor","H1000","N/A",80.739999999999995,1,true,true,true,true,true,37,"Certified AOD Counselor","H1000","N/A",80.739999999999995,1]
[37,"Community Health Worker","G0022","N/A",150.12,1,true,true,true,true,true,37,"Community Health Worker","G0022","N/A",150.12,1]
[37,"LCSW (Licensed, Waivered or Registered)",90882,"N/A",97.33,1,true,true,true,true,true,37,"LCSW (Licensed, Waivered or Registered)",90882,"N/A",97.33,1]
[37,"LCSW (Licensed, Waivered or Registered)",99368,"N/A",389.33,1,true,true,true,true,true,37,"LCSW (Licensed, Waivered or Registered)",99368,"N/A",389.33,1]
[37,"LCSW (Licensed, Waivered or Registered)","H0049","N/A",97.33,1,true,true,true,true,true,37,"LCSW (Licensed, Waivered or Registered)","H0049","N/A",97.33,1]
[37,"LCSW (Licensed, Waivered or Registered)","H2035","N/A",389.33,1,true,true,true,true,true,37,"LCSW (Licensed, Waivered or Registered)","H2035","N/A",389.33,1]
[37,"LCSW (Licensed, Waivered or Registered)","T2021","HQ",21.63,1,true,true,true,true,true,37,"LCSW (Licensed, Waivered or Registered)","T2021","HQ",21.63,1]
[37,"Licensed Physician",96171,"N/A",373.99,1,true,true,true,true,true,37,"Licensed Physician",96171,"N/A",373.99,1]
[37,"Licensed Physician",99235,"N/A",1919.83,1,true,true,true,true,true,37,"Licensed Physician",99235,"N/A",1919.83,1]
[37,"Licensed Physician",99238,"N/A",747.99,1,true,true,true,true,true,37,"Licensed Physician",99238,"N/A",747.99,1]
[37,"Licensed Physician",99342,"N/A",1121.98,1,true,true,true,true,true,37,"Licensed Physician",99342,"N/A",1121.98,1]
[37,"Licensed Physician",99441,"N/A",199.46,1,true,true,true,true,true,37,"Licensed Physician",99441,"N/A",199.46,1]
[37,"Licensed Physician","G0316","N/A",373.99,1,true,true,true,true,true,37,"Licensed Physician","G0316","N/A",373.99,1]
[37,"Licensed Physician","H0008","N/A",373.99,1,true,true,true,true,true,37,"Licensed Physician","H0008","N/A",373.99,1]
[37,"Licensed Physician","H2021","N/A",373.99,1,true,true,true,true,true,37,"Licensed Physician","H2021","N/A",373.99,1]
[37,"Licensed Physician","T1017","N/A",373.99,1,true,true,true,true,true,37,"Licensed Physician","T1017","N/A",373.99,1]
[37,"Licensed Psychiatric Technician","G0542","N/A",68.41,1,true,true,true,true,true,37,"Licensed Psychiatric Technician","G0542","N/A",68.41,1]
[37,"Licensed Psychiatric Technician","H0009","N/A",68.41,1,true,true,true,true,true,37,"Licensed Psychiatric Technician","H0009","N/A",68.41,1]
[37,"Licensed Psychiatric Technician","H2027","N/A",68.41,1,true,true,true,true,true,37,"Licensed Psychiatric Technician","H2027","N/A",68.41,1]
[37,"Licensed Psychiatric Technician","T1013","N/A",31.88,1,true,true,true,true,true,37,"Licensed Psychiatric Technician","T1013","N/A",31.88,1]
[37,"Licensed Vocational Nurse","G0541","N/A",122.36,1,true,true,true,true,true,37,"Licensed Vocational Nurse","G0541","N/A",122.36,1]
[37,"Licensed Vocational Nurse","H0033","N/A",79.8,1,true,true,true,true,true,37,"Licensed Vocational Nurse","H0033","N/A",79.8,1]
[37,"Licensed Vocational Nurse","H2014","HQ",17.73,1,true,true,true,true,true,37,"Licensed Vocational Nurse","H2014","HQ",17.73,1]
[37,"Medical Assistant","H0003","N/A",54.86,1,true,true,true,true,true,37,"Medical Assistant","H0003","N/A",54.86,1]
[37,"MFT/LPCC (Licensed, Waivered or Registered)",90791,"N/A",389.33,1,true,true,true,true,true,37,"MFT/LPCC (Licensed, Waivered or Registered)",90791,"N/A",389.33,1]
[37,"MFT/LPCC (Licensed, Waivered or Registered)",90846,"N/A",324.44,1,true,true,true,true,true,37,"MFT/LPCC (Licensed, Waivered or Registered)",90846,"N/A",324.44,1]
[37,"MFT/LPCC (Licensed, Waivered or Registered)","G0397","N/A",389.33,1,true,true,true,true,true,37,"MFT/LPCC (Licensed, Waivered or Registered)","G0397","N/A",389.33,1]
[37,"MFT/LPCC (Licensed, Waivered or Registered)","H0004","N/A",97.33,1,true,true,true,true,true,37,"MFT/LPCC (Licensed, Waivered or Registered)","H0004","N/A",97.33,1]
[37,"MFT/LPCC (Licensed, Waivered or Registered)","H2014","N/A",97.33,1,true,true,true,true,true,37,"MFT/LPCC (Licensed, Waivered or Registered)","H2014","N/A",97.33,1]
[37,"MFT/LPCC (Licensed, Waivered or Registered)","T2024","N/A",97.33,1,true,true,true,true,true,37,"MFT/LPCC (Licensed, Waivered or Registered)","T2024","N/A",97.33,1]
[37,"Nurse Practitioner",96131,"N/A",743.91,1,true,true,true,true,true,37,"Nurse Practitioner",96131,"N/A",743.91,1]
[37,"Nurse Practitioner",97552,"N/A",123.99,1,true,true,true,true,true,37,"Nurse Practitioner",97552,"N/A",123.99,1]
[37,"Nurse Practitioner",99307,"N/A",185.98,1,true,true,true,true,true,37,"Nurse Practitioner",99307,"N/A",185.98,1]
[37,"Nurse Practitioner",99344,"N/A",830.7,1,true,true,true,true,true,37,"Nurse Practitioner",99344,"N/A",830.7,1]
[37,"Nurse Practitioner",99437,"N/A",371.96,1,true,true,true,true,true,37,"Nurse Practitioner",99437,"N/A",371.96,1]
[37,"Nurse Practitioner","G0542","N/A",185.98,1,true,true,true,true,true,37,"Nurse Practitioner","G0542","N/A",185.98,1]
[37,"Nurse Practitioner","H0003","N/A",185.98,1,true,true,true,true,true,37,"Nurse Practitioner","H0003","N/A",185.98,1]
[37,"Nurse Practitioner","H2014","N/A",185.98,1,true,true,true,true,true,37,"Nurse Practitioner","H2014","N/A",185.98,1]
[37,"Occupational Therapist",90882,"N/A",129.57,1,true,true,true,true,true,37,"Occupational Therapist",90882,"N/A",129.57,1]
[37,"Occupational Therapist",96160,"N/A",129.57,1,true,true,true,true,true,37,"Occupational Therapist",96160,"N/A",129.57,1]
[37,"Occupational Therapist","H0004","N/A",129.57,1,true,true,true,true,true,37,"Occupational Therapist","H0004","N/A",129.57,1]
[37,"Occupational Therapist","T2024","N/A",129.57,1,true,true,true,true,true,37,"Occupational Therapist","T2024","N/A",129.57,1]
[37,"Other Qualified Practitioner","H2017","N/A",73.23,1,true,true,true,true,true,37,"Other Qualified Practitioner","H2017","N/A",73.23,1]
[37,"Other Qualified Practitioner","T1017","N/A",73.23,1,true,true,true,true,true,37,"Other Qualified Practitioner","T1017","N/A",73.23,1]
[37,"Physician Assistant",90887,"N/A",559.12,1,true,true,true,true,true,37,"Physician Assistant",90887,"N/A",559.12,1]
[37,"Physician Assistant",98968,"N/A",290.74,1,true,true,true,true,true,37,"Physician Assistant",98968,"N/A",290.74,1]
[37,"Physician Assistant",99204,"N/A",581.48,1,true,true,true,true,true,37,"Physician Assistant",99204,"N/A",581.48,1]
[37,"Physician Assistant",99307,"N/A",167.74,1,true,true,true,true,true,37,"Physician Assistant",99307,"N/A",167.74,1]
[37,"Physician Assistant",99417,"N/A",167.74,1,true,true,true,true,true,37,"Physician Assistant",99417,"N/A",167.74,1]
[37,"Physician Assistant",99496,"N/A",838.68,1,true,true,true,true,true,37,"Physician Assistant",99496,"N/A",838.68,1]
[37,"Physician Assistant","G0542","N/A",167.74,1,true,true,true,true,true,37,"Physician Assistant","G0542","N/A",167.74,1]
[37,"Physician Assistant","H0049","N/A",167.74,1,true,true,true,true,true,37,"Physician Assistant","H0049","N/A",167.74,1]
[37,"Physician Assistant","T1017","N/A",167.74,1,true,true,true,true,true,37,"Physician Assistant","T1017","N/A",167.74,1]
[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)",96131,"N/A",601.63,1,true,true,true,true,true,37,"Psychologist (Licensed or Waivered)",96131,"N/A",601.63,1]
[37,"Psychologist (Licensed or Waivered)","G0543","N/A",100.27,1,true,true,true,true,true,37,"Psychologist (Licensed or Waivered)","G0543","N/A",100.27,1]
[37,"Psychologist (Licensed or Waivered)","T1006","N/A",150.41,1,true,true,true,true,true,37,"Psychologist (Licensed or Waivered)","T1006","N/A",150.41,1]
[37,"Registered Nurse",90887,"N/A",506.37,1,true,true,true,true,true,37,"Registered Nurse",90887,"N/A",506.37,1]
[37,"Registered Nurse",99238,"N/A",303.82,1,true,true,true,true,true,37,"Registered Nurse",99238,"N/A",303.82,1]
[37,"Registered Nurse","G0539","N/A",232.93,1,true,true,true,true,true,37,"Registered Nurse","G0539","N/A",232.93,1]
[37,"Registered Nurse","H0004","N/A",151.91,1,true,true,true,true,true,37,"Registered Nurse","H0004","N/A",151.91,1]
[37,"Registered Nurse","T1007","N/A",151.91,1,true,true,true,true,true,37,"Registered Nurse","T1007","N/A",151.91,1]
[37,"Registered Pharmacist",90785,"N/A",18.89,1,true,true,true,true,true,37,"Registered Pharmacist",90785,"N/A",18.89,1]
[37,"Registered Pharmacist","G0542","N/A",179.02,1,true,true,true,true,true,37,"Registered Pharmacist","G0542","N/A",179.02,1]
[38,"Certified AOD Counselor",90785,"N/A",18.89,{"$f":"IF(C15753=\"G0323\",9,1)","v":1},true,true,true,true,true,38,"Certified AOD Counselor",90785,"N/A",18.89,{"$f":"IF(OR(N15753=\"H0036\",N15753=\"G0323\"),9,1)","v":1}]
[38,"Certified AOD Counselor","H0007","N/A",113.83,1,true,true,true,true,true,38,"Certified AOD Counselor","H0007","N/A",113.83,1]
[38,"Certified AOD Counselor","H2015","N/A",113.83,1,true,true,true,true,true,38,"Certified AOD Counselor","H2015","N/A",113.83,1]
[38,"Community Health Worker","G0022","N/A",211.65,1,true,true,true,true,true,38,"Community Health Worker","G0022","N/A",211.65,1]
[38,"LCSW (Licensed, Waivered or Registered)",96202,"N/A",121.98,1,true,true,true,true,true,38,"LCSW (Licensed, Waivered or Registered)",96202,"N/A",121.98,1]
[38,"LCSW (Licensed, Waivered or Registered)",99368,"N/A",548.91,1,true,true,true,true,true,38,"LCSW (Licensed, Waivered or Registered)",99368,"N/A",548.91,1]
[38,"LCSW (Licensed, Waivered or Registered)","H2014","N/A",137.22999999999999,1,true,true,true,true,true,38,"LCSW (Licensed, Waivered or Registered)","H2014","N/A",137.22999999999999,1]
[38,"LCSW (Licensed, Waivered or Registered)","T1013","N/A",31.88,1,true,true,true,true,true,38,"LCSW (Licensed, Waivered or Registered)","T1013","N/A",31.88,1]
[38,"Licensed Physician",90887,"N/A",1757.61,1,true,true,true,true,true,38,"Licensed Physician",90887,"N/A",1757.61,1]
[38,"Licensed Physician",96130,"N/A",2109.13,1,true,true,true,true,true,38,"Licensed Physician",96130,"N/A",2109.13,1]
[38,"Licensed Physician",99235,"N/A",2706.72,1,true,true,true,true,true,38,"Licensed Physician",99235,"N/A",2706.72,1]
[38,"Licensed Physician",99305,"N/A",1476.39,1,true,true,true,true,true,38,"Licensed Physician",99305,"N/A",1476.39,1]
[38,"Licensed Physician",99347,"N/A",878.8,1,true,true,true,true,true,38,"Licensed Physician",99347,"N/A",878.8,1]
[38,"Licensed Physician",99441,"N/A",281.22000000000003,1,true,true,true,true,true,38,"Licensed Physician",99441,"N/A",281.22000000000003,1]
[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 Physician","H0008","N/A",527.28,1,true,true,true,true,true,38,"Licensed Physician","H0008","N/A",527.28,1]
[38,"Licensed Physician","T1006","N/A",527.28,1,true,true,true,true,true,38,"Licensed Physician","T1006","N/A",527.28,1]
[38,"Licensed Psychiatric Technician",90889,"N/A",96.46,1,true,true,true,true,true,38,"Licensed Psychiatric Technician",90889,"N/A",96.46,1]
[38,"Licensed Psychiatric Technician","G0542","N/A",96.46,1,true,true,true,true,true,38,"Licensed Psychiatric Technician","G0542","N/A",96.46,1]
[38,"Licensed Psychiatric Technician","H0034","HQ",21.43,1,true,true,true,true,true,38,"Licensed Psychiatric Technician","H0034","HQ",21.43,1]
[38,"Licensed Psychiatric Technician","H2027","N/A",96.46,1,true,true,true,true,true,38,"Licensed Psychiatric Technician","H2027","N/A",96.46,1]
[38,"Licensed Vocational Nurse",90882,"N/A",112.51,1,true,true,true,true,true,38,"Licensed Vocational Nurse",90882,"N/A",112.51,1]
[38,"Licensed Vocational Nurse","G0396","N/A",172.52,1,true,true,true,true,true,38,"Licensed Vocational Nurse","G0396","N/A",172.52,1]
[38,"Licensed Vocational Nurse","H0033","N/A",112.51,1,true,true,true,true,true,38,"Licensed Vocational Nurse","H0033","N/A",112.51,1]
[38,"Licensed Vocational Nurse","H2017","HQ",25,1,true,true,true,true,true,38,"Licensed Vocational Nurse","H2017","HQ",25,1]
[38,"Medical Assistant",96170,"N/A",154.69,1,true,true,true,true,true,38,"Medical Assistant",96170,"N/A",154.69,1]
[38,"Medical Assistant","T2024","N/A",77.34,1,true,true,true,true,true,38,"Medical Assistant","T2024","N/A",77.34,1]
[38,"MFT/LPCC (Licensed, Waivered or Registered)",90882,"N/A",137.22999999999999,1,true,true,true,true,true,38,"MFT/LPCC (Licensed, Waivered or Registered)",90882,"N/A",137.22999999999999,1]
[38,"MFT/LPCC (Licensed, Waivered or Registered)","G0397","N/A",548.91,1,true,true,true,true,true,38,"MFT/LPCC (Licensed, Waivered or Registered)","G0397","N/A",548.91,1]
[38,"MFT/LPCC (Licensed, Waivered or Registered)","H0049","N/A",137.22999999999999,1,true,true,true,true,true,38,"MFT/LPCC (Licensed, Waivered or Registered)","H0049","N/A",137.22999999999999,1]
[38,"MFT/LPCC (Licensed, Waivered or Registered)","H2035","N/A",548.91,1,true,true,true,true,true,38,"MFT/LPCC (Licensed, Waivered or Registered)","H2035","N/A",548.91,1]
[38,"MFT/LPCC (Licensed, Waivered or Registered)","T2024","N/A",137.22999999999999,1,true,true,true,true,true,38,"MFT/LPCC (Licensed, Waivered or Registered)","T2024","N/A",137.22999999999999,1]
[38,"Nurse Practitioner",96171,"N/A",262.20999999999998,1,true,true,true,true,true,38,"Nurse Practitioner",96171,"N/A",262.20999999999998,1]
[38,"Nurse Practitioner",97552,"N/A",174.8,1,true,true,true,true,true,38,"Nurse Practitioner",97552,"N/A",174.8,1]
[38,"Nurse Practitioner",99234,"N/A",996.38,1,true,true,true,true,true,38,"Nurse Practitioner",99234,"N/A",996.38,1]
[38,"Nurse Practitioner",99408,"N/A",402.05,1,true,true,true,true,true,38,"Nurse Practitioner",99408,"N/A",402.05,1]
[38,"Nurse Practitioner",99437,"N/A",524.41,1,true,true,true,true,true,38,"Nurse Practitioner",99437,"N/A",524.41,1]
[38,"Nurse Practitioner",99495,"N/A",943.94,1,true,true,true,true,true,38,"Nurse Practitioner",99495,"N/A",943.94,1]
[38,"Nurse Practitioner","H0008","N/A",262.20999999999998,1,true,true,true,true,true,38,"Nurse Practitioner","H0008","N/A",262.20999999999998,1]
[38,"Nurse Practitioner","H2017","N/A",262.20999999999998,1,true,true,true,true,true,38,"Nurse Practitioner","H2017","N/A",262.20999999999998,1]
[38,"Nurse Practitioner","T1007","N/A",262.20999999999998,1,true,true,true,true,true,38,"Nurse Practitioner","T1007","N/A",262.20999999999998,1]
[38,"Occupational Therapist",96160,"N/A",182.67,1,true,true,true,true,true,38,"Occupational Therapist",96160,"N/A",182.67,1]
[38,"Occupational Therapist","H0033","N/A",182.67,1,true,true,true,true,true,38,"Occupational Therapist","H0033","N/A",182.67,1]
[38,"Other Qualified Practitioner","G0397","N/A",412.97,1,true,true,true,true,true,38,"Other Qualified Practitioner","G0397","N/A",412.97,1]
[38,"Other Qualified Practitioner","H2027","N/A",103.24,1,true,true,true,true,true,38,"Other Qualified Practitioner","H2027","N/A",103.24,1]
[38,"Peer Support Specialists","H0038","N/A",108.41,1,true,true,true,true,true,38,"Peer Support Specialists","H0038","N/A",108.41,1]
[38,"Physician Assistant",90887,"N/A",788.28,1,true,true,true,true,true,38,"Physician Assistant",90887,"N/A",788.28,1]
[38,"Physician Assistant",99204,"N/A",819.81,1,true,true,true,true,true,38,"Physician Assistant",99204,"N/A",819.81,1]
[38,"Physician Assistant",99305,"N/A",662.15,1,true,true,true,true,true,38,"Physician Assistant",99305,"N/A",662.15,1]
[38,"Physician Assistant",99310,"N/A",819.81,1,true,true,true,true,true,38,"Physician Assistant",99310,"N/A",819.81,1]
[38,"Physician Assistant",99425,"N/A",472.97,1,true,true,true,true,true,38,"Physician Assistant",99425,"N/A",472.97,1]
[38,"Physician Assistant","G0539","N/A",362.61,1,true,true,true,true,true,38,"Physician Assistant","G0539","N/A",362.61,1]
[38,"Physician Assistant","H0001","N/A",236.48,1,true,true,true,true,true,38,"Physician Assistant","H0001","N/A",236.48,1]
[38,"Physician Assistant","H0049","N/A",236.48,1,true,true,true,true,true,38,"Physician Assistant","H0049","N/A",236.48,1]
[38,"Physician Assistant","T2021",22,239.49,1,true,true,true,true,true,38,"Physician Assistant","T2021",22,239.49,1]
[38,"Psychologist (Licensed or Waivered)",90849,"N/A",263.89,1,true,true,true,true,true,38,"Psychologist (Licensed or Waivered)",90849,"N/A",263.89,1]
[38,"Psychologist (Licensed or Waivered)",96202,"N/A",188.49,1,true,true,true,true,true,38,"Psychologist (Licensed or Waivered)",96202,"N/A",188.49,1]
[38,"Psychologist (Licensed or Waivered)","H0003","N/A",212.06,1,true,true,true,true,true,38,"Psychologist (Licensed or Waivered)","H0003","N/A",212.06,1]
[38,"Psychologist (Licensed or Waivered)","T1006","N/A",212.06,1,true,true,true,true,true,38,"Psychologist (Licensed or Waivered)","T1006","N/A",212.06,1]
[38,"Psychologist (Licensed or Waivered)","T2021",22,215.07,1,true,true,true,true,true,38,"Psychologist (Licensed or Waivered)","T2021",22,215.07,1]
[38,"Registered Nurse",99424,"N/A",428.35,1,true,true,true,true,true,38,"Registered Nurse",99424,"N/A",428.35,1]
[38,"Registered Nurse","G0539","N/A",328.4,1,true,true,true,true,true,38,"Registered Nurse","G0539","N/A",328.4,1]
[38,"Registered Nurse","H0008","N/A",214.18,1,true,true,true,true,true,38,"Registered Nurse","H0008","N/A",214.18,1]
[38,"Registered Nurse","H2014","HQ",47.59,1,true,true,true,true,true,38,"Registered Nurse","H2014","HQ",47.59,1]
[38,"Registered Pharmacist","G0539","N/A",387.01,1,true,true,true,true,true,38,"Registered Pharmacist","G0539","N/A",387.01,1]
[38,"Registered Pharmacist","H0001","N/A",252.4,1,true,true,true,true,true,38,"Registered Pharmacist","H0001","N/A",252.4,1]
[39,"Certified AOD Counselor",90785,"N/A",18.89,1,true,true,true,true,true,39,"Certified AOD Counselor",90785,"N/A",18.89,1]
[39,"Certified AOD Counselor","H1000","N/A",79.91,1,true,true,true,true,true,39,"Certified AOD Counselor","H1000","N/A",79.91,1]
[39,"Certified AOD Counselor","H2021","N/A",79.91,1,true,true,true,true,true,39,"Certified AOD Counselor","H2021","N/A",79.91,1]
[39,"LCSW (Licensed, Waivered or Registered)",90847,"N/A",321.13,1,true,true,true,true,true,39,"LCSW (Licensed, Waivered or Registered)",90847,"N/A",321.13,1]
[39,"LCSW (Licensed, Waivered or Registered)",97551,"N/A",96.34,1,true,true,true,true,true,39,"LCSW (Licensed, Waivered or Registered)",97551,"N/A",96.34,1]
[39,"LCSW (Licensed, Waivered or Registered)",99368,"N/A",385.36,1,true,true,true,true,true,39,"LCSW (Licensed, Waivered or Registered)",99368,"N/A",385.36,1]
[39,"LCSW (Licensed, Waivered or Registered)","H0007","N/A",96.34,1,true,true,true,true,true,39,"LCSW (Licensed, Waivered or Registered)","H0007","N/A",96.34,1]
[39,"LCSW (Licensed, Waivered or Registered)","T2021","HQ",21.41,1,true,true,true,true,true,39,"LCSW (Licensed, Waivered or Registered)","T2021","HQ",21.41,1]
[39,"Licensed Physician",90887,"N/A",1233.92,1,true,true,true,true,true,39,"Licensed Physician",90887,"N/A",1233.92,1]
[39,"Licensed Physician",96170,"N/A",740.35,1,true,true,true,true,true,39,"Licensed Physician",96170,"N/A",740.35,1]
[39,"Licensed Physician",99235,"N/A",1900.23,1,true,true,true,true,true,39,"Licensed Physician",99235,"N/A",1900.23,1]
[39,"Licensed Physician",99342,"N/A",1110.53,1,true,true,true,true,true,39,"Licensed Physician",99342,"N/A",1110.53,1]
[39,"Licensed Physician",99350,"N/A",1653.45,1,true,true,true,true,true,39,"Licensed Physician",99350,"N/A",1653.45,1]
[39,"Licensed Physician",99441,"N/A",197.43,1,true,true,true,true,true,39,"Licensed Physician",99441,"N/A",197.43,1]
[39,"Licensed Physician","H0003","N/A",370.18,1,true,true,true,true,true,39,"Licensed Physician","H0003","N/A",370.18,1]
[39,"Licensed Physician","H0008","N/A",370.18,1,true,true,true,true,true,39,"Licensed Physician","H0008","N/A",370.18,1]
[39,"Licensed Physician","T1017","N/A",370.18,1,true,true,true,true,true,39,"Licensed Physician","T1017","N/A",370.18,1]
[39,"Licensed Psychiatric Technician",96171,"N/A",67.72,1,true,true,true,true,true,39,"Licensed Psychiatric Technician",96171,"N/A",67.72,1]
[39,"Licensed Psychiatric Technician","G0542","N/A",67.72,1,true,true,true,true,true,39,"Licensed Psychiatric Technician","G0542","N/A",67.72,1]
[39,"Licensed Psychiatric Technician","H0008","N/A",67.72,1,true,true,true,true,true,39,"Licensed Psychiatric Technician","H0008","N/A",67.72,1]
[39,"Licensed Psychiatric Technician","H2027","N/A",67.72,1,true,true,true,true,true,39,"Licensed Psychiatric Technician","H2027","N/A",67.72,1]
[39,"Licensed Vocational Nurse",96170,"N/A",157.97999999999999,1,true,true,true,true,true,39,"Licensed Vocational Nurse",96170,"N/A",157.97999999999999,1]
[39,"Licensed Vocational Nurse","G0540","N/A",78.989999999999995,1,true,true,true,true,true,39,"Licensed Vocational Nurse","G0540","N/A",78.989999999999995,1]
[39,"Licensed Vocational Nurse","H0033","N/A",78.989999999999995,1,true,true,true,true,true,39,"Licensed Vocational Nurse","H0033","N/A",78.989999999999995,1]
[39,"Medical Assistant",90785,"N/A",18.32,1,true,true,true,true,true,39,"Medical Assistant",90785,"N/A",18.32,1]
[39,"Medical Assistant","H2017","N/A",54.3,1,true,true,true,true,true,39,"Medical Assistant","H2017","N/A",54.3,1]
[39,"MFT/LPCC (Licensed, Waivered or Registered)",90846,"N/A",321.13,1,true,true,true,true,true,39,"MFT/LPCC (Licensed, Waivered or Registered)",90846,"N/A",321.13,1]
[39,"MFT/LPCC (Licensed, Waivered or Registered)",96202,"N/A",85.64,1,true,true,true,true,true,39,"MFT/LPCC (Licensed, Waivered or Registered)",96202,"N/A",85.64,1]
[39,"MFT/LPCC (Licensed, Waivered or Registered)","G0397","N/A",385.36,1,true,true,true,true,true,39,"MFT/LPCC (Licensed, Waivered or Registered)","G0397","N/A",385.36,1]
[39,"MFT/LPCC (Licensed, Waivered or Registered)","H2014","N/A",96.34,1,true,true,true,true,true,39,"MFT/LPCC (Licensed, Waivered or Registered)","H2014","N/A",96.34,1]
[39,"MFT/LPCC (Licensed, Waivered or Registered)","H2035","N/A",385.36,1,true,true,true,true,true,39,"MFT/LPCC (Licensed, Waivered or Registered)","H2035","N/A",385.36,1]
[39,"Nurse Practitioner",90791,"N/A",736.31,1,true,true,true,true,true,39,"Nurse Practitioner",90791,"N/A",736.31,1]
[39,"Nurse Practitioner",96130,"N/A",736.31,1,true,true,true,true,true,39,"Nurse Practitioner",96130,"N/A",736.31,1]
[39,"Nurse Practitioner",99234,"N/A",699.49,1,true,true,true,true,true,39,"Nurse Practitioner",99234,"N/A",699.49,1]
[39,"Nurse Practitioner",99238,"N/A",368.16,1,true,true,true,true,true,39,"Nurse Practitioner",99238,"N/A",368.16,1]
[39,"Nurse Practitioner",99408,"N/A",282.25,1,true,true,true,true,true,39,"Nurse Practitioner",99408,"N/A",282.25,1]
[39,"Nurse Practitioner",99442,"N/A",196.35,1,true,true,true,true,true,39,"Nurse Practitioner",99442,"N/A",196.35,1]
[39,"Nurse Practitioner","G0396","N/A",282.25,1,true,true,true,true,true,39,"Nurse Practitioner","G0396","N/A",282.25,1]
[39,"Nurse Practitioner","H0008","N/A",184.08,1,true,true,true,true,true,39,"Nurse Practitioner","H0008","N/A",184.08,1]
[39,"Nurse Practitioner","H2027","N/A",184.08,1,true,true,true,true,true,39,"Nurse Practitioner","H2027","N/A",184.08,1]
[39,"Occupational Therapist",90785,"N/A",18.89,1,true,true,true,true,true,39,"Occupational Therapist",90785,"N/A",18.89,1]
[39,"Occupational Therapist","G0543","N/A",85.5,1,true,true,true,true,true,39,"Occupational Therapist","G0543","N/A",85.5,1]
[39,"Occupational Therapist","H2014","HQ",28.5,1,true,true,true,true,true,39,"Occupational Therapist","H2014","HQ",28.5,1]
[39,"Other Qualified Practitioner","G0397","N/A",289.93,1,true,true,true,true,true,39,"Other Qualified Practitioner","G0397","N/A",289.93,1]
[39,"Other Qualified Practitioner","H0050","N/A",72.48,1,true,true,true,true,true,39,"Other Qualified Practitioner","H0050","N/A",72.48,1]
[39,"Physician Assistant",90849,"N/A",206.61,1,true,true,true,true,true,39,"Physician Assistant",90849,"N/A",206.61,1]
[39,"Physician Assistant",90887,"N/A",553.41,1,true,true,true,true,true,39,"Physician Assistant",90887,"N/A",553.41,1]
[39,"Physician Assistant",97550,"N/A",254.57,1,true,true,true,true,true,39,"Physician Assistant",97550,"N/A",254.57,1]
[39,"Physician Assistant",99214,"N/A",387.39,1,true,true,true,true,true,39,"Physician Assistant",99214,"N/A",387.39,1]
[39,"Physician Assistant",99344,"N/A",741.57,1,true,true,true,true,true,39,"Physician Assistant",99344,"N/A",741.57,1]
[39,"Physician Assistant",99368,"N/A",664.09,1,true,true,true,true,true,39,"Physician Assistant",99368,"N/A",664.09,1]
[39,"Physician Assistant","G0539","N/A",254.57,1,true,true,true,true,true,39,"Physician Assistant","G0539","N/A",254.57,1]
[39,"Physician Assistant","H0005","N/A",36.89,1,true,true,true,true,true,39,"Physician Assistant","H0005","N/A",36.89,1]
[39,"Physician Assistant","H2014","HQ",36.89,1,true,true,true,true,true,39,"Physician Assistant","H2014","HQ",36.89,1]
[39,"Psychologist (Licensed or Waivered)",90791,"N/A",595.49,1,true,true,true,true,true,39,"Psychologist (Licensed or Waivered)",90791,"N/A",595.49,1]
[39,"Psychologist (Licensed or Waivered)",90887,"N/A",496.24,1,true,true,true,true,true,39,"Psychologist (Licensed or Waivered)",90887,"N/A",496.24,1]
[39,"Psychologist (Licensed or Waivered)",96202,"N/A",132.33000000000001,1,true,true,true,true,true,39,"Psychologist (Licensed or Waivered)",96202,"N/A",132.33000000000001,1]
[39,"Psychologist (Licensed or Waivered)","H0007","N/A",148.87,1,true,true,true,true,true,39,"Psychologist (Licensed or Waivered)","H0007","N/A",148.87,1]
[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",90882,"N/A",150.36000000000001,1,true,true,true,true,true,39,"Registered Nurse",90882,"N/A",150.36000000000001,1]
[39,"Registered Nurse",99491,"N/A",300.72000000000003,1,true,true,true,true,true,39,"Registered Nurse",99491,"N/A",300.72000000000003,1]
[39,"Registered Nurse","G0543","N/A",100.24,1,true,true,true,true,true,39,"Registered Nurse","G0543","N/A",100.24,1]
[39,"Registered Nurse","H0034","N/A",150.36000000000001,1,true,true,true,true,true,39,"Registered Nurse","H0034","N/A",150.36000000000001,1]
[39,"Registered Nurse","H2014","HQ",33.409999999999997,1,true,true,true,true,true,39,"Registered Nurse","H2014","HQ",33.409999999999997,1]
[39,"Registered Pharmacist","G0542","N/A",177.19,1,true,true,true,true,true,39,"Registered Pharmacist","G0542","N/A",177.19,1]
[39,"Registered Pharmacist","H0009","N/A",177.19,1,true,true,true,true,true,39,"Registered Pharmacist","H0009","N/A",177.19,1]
[40,"Certified AOD Counselor","G2011","N/A",47.96,1,true,true,true,true,true,40,"Certified AOD Counselor","G2011","N/A",47.96,1]
[40,"Certified AOD Counselor","H2015","N/A",71.94,1,true,true,true,true,true,40,"Certified AOD Counselor","H2015","N/A",71.94,1]
[40,"Certified AOD Counselor","T1007","N/A",71.94,1,true,true,true,true,true,40,"Certified AOD Counselor","T1007","N/A",71.94,1]
[40,"LCSW (Licensed, Waivered or Registered)",90791,"N/A",346.92,1,true,true,true,true,true,40,"LCSW (Licensed, Waivered or Registered)",90791,"N/A",346.92,1]
[40,"LCSW (Licensed, Waivered or Registered)",98967,"N/A",92.51,1,true,true,true,true,true,40,"LCSW (Licensed, Waivered or Registered)",98967,"N/A",92.51,1]
[40,"LCSW (Licensed, Waivered or Registered)",99368,"N/A",346.92,1,true,true,true,true,true,40,"LCSW (Licensed, Waivered or Registered)",99368,"N/A",346.92,1]
[40,"LCSW (Licensed, Waivered or Registered)","H1000","N/A",86.73,1,true,true,true,true,true,40,"LCSW (Licensed, Waivered or Registered)","H1000","N/A",86.73,1]
[40,"Licensed Physician",90785,"N/A",18.89,1,true,true,true,true,true,40,"Licensed Physician",90785,"N/A",18.89,1]
[40,"Licensed Physician",96160,"N/A",333.26,1,true,true,true,true,true,40,"Licensed Physician",96160,"N/A",333.26,1]
[40,"Licensed Physician",96203,"N/A",74.06,1,true,true,true,true,true,40,"Licensed Physician",96203,"N/A",74.06,1]
[40,"Licensed Physician",99235,"N/A",1710.71,1,true,true,true,true,true,40,"Licensed Physician",99235,"N/A",1710.71,1]
[40,"Licensed Physician",99347,"N/A",555.42999999999995,1,true,true,true,true,true,40,"Licensed Physician",99347,"N/A",555.42999999999995,1]
[40,"Licensed Physician",99409,"N/A",1333.02,1,true,true,true,true,true,40,"Licensed Physician",99409,"N/A",1333.02,1]
[40,"Licensed Physician",99491,"N/A",666.51,1,true,true,true,true,true,40,"Licensed Physician",99491,"N/A",666.51,1]
[40,"Licensed Physician","H0007","N/A",333.26,1,true,true,true,true,true,40,"Licensed Physician","H0007","N/A",333.26,1]
[40,"Licensed Physician","H2017","N/A",333.26,1,true,true,true,true,true,40,"Licensed Physician","H2017","N/A",333.26,1]
[40,"Licensed Physician","H2035","N/A",1333.02,1,true,true,true,true,true,40,"Licensed Physician","H2035","N/A",1333.02,1]
[40,"Licensed Psychiatric Technician",97550,"N/A",93.47,1,true,true,true,true,true,40,"Licensed Psychiatric Technician",97550,"N/A",93.47,1]
[40,"Licensed Psychiatric Technician","G0542","N/A",60.96,1,true,true,true,true,true,40,"Licensed Psychiatric Technician","G0542","N/A",60.96,1]
[40,"Licensed Psychiatric Technician","H0034","N/A",60.96,1,true,true,true,true,true,40,"Licensed Psychiatric Technician","H0034","N/A",60.96,1]
[40,"Licensed Psychiatric Technician","H2027","N/A",60.96,1,true,true,true,true,true,40,"Licensed Psychiatric Technician","H2027","N/A",60.96,1]
[40,"Licensed Vocational Nurse","G0396","N/A",109.04,1,true,true,true,true,true,40,"Licensed Vocational Nurse","G0396","N/A",109.04,1]
[40,"Licensed Vocational Nurse","G0543","N/A",47.41,1,true,true,true,true,true,40,"Licensed Vocational Nurse","G0543","N/A",47.41,1]
[40,"Licensed Vocational Nurse","H2021","N/A",71.11,1,true,true,true,true,true,40,"Licensed Vocational Nurse","H2021","N/A",71.11,1]
[40,"Medical Assistant",96170,"N/A",97.77,1,true,true,true,true,true,40,"Medical Assistant",96170,"N/A",97.77,1]
[40,"Medical Assistant","H2017","N/A",48.88,1,{"$f":"EXACT(A17539,L17539)","v":true},{"$f":"EXACT(B17539,M17539)","v":true},{"$f":"EXACT(C17539,N17539)","v":true},{"$f":"EXACT(D17539,O17539)","v":true},{"$f":"EXACT(E17539,P17539)","v":true},40,"Medical Assistant","H2017","N/A",48.88,1]
[40,"Medical Assistant","T1017","N/A",48.88,1,true,true,true,true,true,40,"Medical Assistant","T1017","N/A",48.88,1]
[40,"MFT/LPCC (Licensed, Waivered or Registered)",97551,"N/A",86.73,1,true,true,true,true,true,40,"MFT/LPCC (Licensed, Waivered or Registered)",97551,"N/A",86.73,1]
[40,"MFT/LPCC (Licensed, Waivered or Registered)","G0397","N/A",346.92,1,true,true,true,true,true,40,"MFT/LPCC (Licensed, Waivered or Registered)","G0397","N/A",346.92,1]
[40,"MFT/LPCC (Licensed, Waivered or Registered)","H0007","N/A",86.73,1,true,true,true,true,true,40,"MFT/LPCC (Licensed, Waivered or Registered)","H0007","N/A",86.73,1]
[40,"MFT/LPCC (Licensed, Waivered or Registered)","H2035","N/A",346.92,1,true,true,true,true,true,40,"MFT/LPCC (Licensed, Waivered or Registered)","H2035","N/A",346.92,1]
[40,"Nurse Practitioner",90847,"N/A",552.4,1,true,true,true,true,true,40,"Nurse Practitioner",90847,"N/A",552.4,1]
[40,"Nurse Practitioner",96170,"N/A",331.44,1,true,true,true,true,true,40,"Nurse Practitioner",96170,"N/A",331.44,1]
[40,"Nurse Practitioner",99234,"N/A",629.74,1,true,true,true,true,true,40,"Nurse Practitioner",99234,"N/A",629.74,1]
[40,"Nurse Practitioner",99309,"N/A",408.78,1,true,true,true,true,true,40,"Nurse Practitioner",99309,"N/A",408.78,1]
[40,"Nurse Practitioner",99408,"N/A",254.1,1,true,true,true,true,true,40,"Nurse Practitioner",99408,"N/A",254.1,1]
[40,"Nurse Practitioner",99495,"N/A",596.59,1,true,true,true,true,true,40,"Nurse Practitioner",99495,"N/A",596.59,1]
[40,"Nurse Practitioner","G2011","N/A",110.48,1,true,true,true,true,true,40,"Nurse Practitioner","G2011","N/A",110.48,1]
[40,"Nurse Practitioner","H0008","N/A",165.72,1,true,true,true,true,true,40,"Nurse Practitioner","H0008","N/A",165.72,1]
[40,"Nurse Practitioner","T1007","N/A",165.72,1,true,true,true,true,true,40,"Nurse Practitioner","T1007","N/A",165.72,1]
[40,"Occupational Therapist",96203,"N/A",25.66,1,true,true,true,true,true,40,"Occupational Therapist",96203,"N/A",25.66,1]
[40,"Occupational Therapist",97551,"N/A",115.45,1,true,true,true,true,true,40,"Occupational Therapist",97551,"N/A",115.45,1]
[40,"Occupational Therapist","H0007","N/A",115.45,1,true,true,true,true,true,40,"Occupational Therapist","H0007","N/A",115.45,1]
[40,"Other Qualified Practitioner","G0397","N/A",261.01,1,true,true,true,true,true,40,"Other Qualified Practitioner","G0397","N/A",261.01,1]
[40,"Other Qualified Practitioner","H2014","HQ",14.5,1,true,true,true,true,true,40,"Other Qualified Practitioner","H2014","HQ",14.5,1]
[40,"Peer Support Specialists","H0025","N/A",15.23,1,true,true,true,true,true,40,"Peer Support Specialists","H0025","N/A",15.23,1]
[40,"Physician Assistant",90887,"N/A",498.21,1,true,true,true,true,true,40,"Physician Assistant",90887,"N/A",498.21,1]
[40,"Physician Assistant",99203,"N/A",368.67,1,true,true,true,true,true,40,"Physician Assistant",99203,"N/A",368.67,1]
[40,"Physician Assistant",99309,"N/A",368.67,1,true,true,true,true,true,40,"Physician Assistant",99309,"N/A",368.67,1]
[40,"Physician Assistant",99348,"N/A",348.75,1,true,true,true,true,true,40,"Physician Assistant",99348,"N/A",348.75,1]
[40,"Physician Assistant",99424,"N/A",298.93,1,true,true,true,true,true,40,"Physician Assistant",99424,"N/A",298.93,1]
[40,"Physician Assistant","G0539","N/A",229.18,1,true,true,true,true,true,40,"Physician Assistant","G0539","N/A",229.18,1]
[40,"Physician Assistant","H0009","N/A",149.46,1,true,true,true,true,true,40,"Physician Assistant","H0009","N/A",149.46,1]
[40,"Physician Assistant","H2014","HQ",33.21,1,true,true,true,true,true,40,"Physician Assistant","H2014","HQ",33.21,1]
[40,"Physician Assistant","T1007","N/A",149.46,1,true,true,true,true,true,40,"Physician Assistant","T1007","N/A",149.46,1]
[40,"Psychologist (Licensed or Waivered)",96202,"N/A",119.13,1,true,true,true,true,true,40,"Psychologist (Licensed or Waivered)",96202,"N/A",119.13,1]
[40,"Psychologist (Licensed or Waivered)","G0540","N/A",134.02000000000001,1,true,true,true,true,true,40,"Psychologist (Licensed or Waivered)","G0540","N/A",134.02000000000001,1]
[40,"Psychologist (Licensed or Waivered)","G0541","N/A",205.5,1,true,true,true,true,true,40,"Psychologist (Licensed or Waivered)","G0541","N/A",205.5,1]
[40,"Psychologist (Licensed or Waivered)","T2021","N/A",134.02000000000001,1,true,true,true,true,true,40,"Psychologist (Licensed or Waivered)","T2021","N/A",134.02000000000001,1]
[40,"Registered Nurse",96160,"N/A",135.36000000000001,1,true,true,true,true,true,40,"Registered Nurse",96160,"N/A",135.36000000000001,1]
[40,"Registered Nurse",97551,"N/A",135.36000000000001,1,true,true,true,true,true,40,"Registered Nurse",97551,"N/A",135.36000000000001,1]
[40,"Registered Nurse","G0543","N/A",90.24,1,true,true,true,true,true,40,"Registered Nurse","G0543","N/A",90.24,1]
[40,"Registered Nurse","H0049","N/A",135.36000000000001,1,true,true,true,true,true,40,"Registered Nurse","H0049","N/A",135.36000000000001,1]
[40,"Registered Nurse","T1007","N/A",135.36000000000001,1,true,true,true,true,true,40,"Registered Nurse","T1007","N/A",135.36000000000001,1]
[40,"Registered Pharmacist","H0001","N/A",159.52000000000001,1,true,true,true,true,true,40,"Registered Pharmacist","H0001","N/A",159.52000000000001,1]
[40,"Registered Pharmacist","H0034","HQ",35.450000000000003,1,true,true,true,true,true,40,"Registered Pharmacist","H0034","HQ",35.450000000000003,1]
[41,"Certified AOD Counselor","G2011","N/A",82.65,1,true,true,true,true,true,41,"Certified AOD Counselor","G2011","N/A",82.65,1]
[41,"Certified AOD Counselor","H2021","N/A",123.98,1,true,true,true,true,true,41,"Certified AOD Counselor","H2021","N/A",123.98,1]
[41,"Community Health Worker",98960,"N/A",230.53,1,true,true,true,true,true,41,"Community Health Worker",98960,"N/A",230.53,1]
[41,"LCSW (Licensed, Waivered or Registered)",90849,"N/A",186,1,true,true,true,true,true,41,"LCSW (Licensed, Waivered or Registered)",90849,"N/A",186,1]
[41,"LCSW (Licensed, Waivered or Registered)","G0396","N/A",229.18,1,true,true,true,true,true,41,"LCSW (Licensed, Waivered or Registered)","G0396","N/A",229.18,1]
[41,"LCSW (Licensed, Waivered or Registered)","G0540","N/A",149.47,{"$f":"IF(C18057=\"G0323\",9,1)","v":1},true,true,true,true,true,41,"LCSW (Licensed, Waivered or Registered)","G0540","N/A",149.47,{"$f":"IF(OR(N18057=\"H0036\",N18057=\"G0323\"),9,1)","v":1}]
[41,"LCSW (Licensed, Waivered or Registered)","H2015","N/A",149.47,1,true,true,true,true,true,41,"LCSW (Licensed, Waivered or Registered)","H2015","N/A",149.47,1]
[41,"Licensed Physician",90791,"N/A",2297.2800000000002,1,true,true,true,true,true,41,"Licensed Physician",90791,"N/A",2297.2800000000002,1]
[41,"Licensed Physician",96170,"N/A",1148.6400000000001,1,true,true,true,true,true,41,"Licensed Physician",96170,"N/A",1148.6400000000001,1]
[41,"Licensed Physician",97552,"N/A",382.88,1,true,true,true,true,true,41,"Licensed Physician",97552,"N/A",382.88,1]
[41,"Licensed Physician",99304,"N/A",1148.6400000000001,1,true,true,true,true,true,41,"Licensed Physician",99304,"N/A",1148.6400000000001,1]
[41,"Licensed Physician",99350,"N/A",2565.3000000000002,1,true,true,true,true,true,41,"Licensed Physician",99350,"N/A",2565.3000000000002,1]
[41,"Licensed Physician",99409,"N/A",2297.2800000000002,1,true,true,true,true,true,41,"Licensed Physician",99409,"N/A",2297.2800000000002,1]
[41,"Licensed Physician",99496,"N/A",2871.6,1,true,true,true,true,true,41,"Licensed Physician",99496,"N/A",2871.6,1]
[41,"Licensed Physician","H0033","N/A",574.32000000000005,1,true,true,true,true,true,41,"Licensed Physician","H0033","N/A",574.32000000000005,1]
[41,"Licensed Physician","H0034","HQ",127.63,1,true,true,true,true,true,41,"Licensed Physician","H0034","HQ",127.63,1]
[41,"Licensed Physician","T1013","N/A",31.88,1,true,true,true,true,true,41,"Licensed Physician","T1013","N/A",31.88,1]
[41,"Licensed Psychiatric Technician","G0396","N/A",161.09,1,true,true,true,true,true,41,"Licensed Psychiatric Technician","G0396","N/A",161.09,1]
[41,"Licensed Psychiatric Technician","H0003","N/A",105.06,1,true,true,true,true,true,41,"Licensed Psychiatric Technician","H0003","N/A",105.06,1]
[41,"Licensed Psychiatric Technician","H0049","N/A",105.06,1,true,true,true,true,true,41,"Licensed Psychiatric Technician","H0049","N/A",105.06,1]
[41,"Licensed Psychiatric Technician","H2027","N/A",105.06,1,true,true,true,true,true,41,"Licensed Psychiatric Technician","H2027","N/A",105.06,1]
[41,"Licensed Vocational Nurse","G0540","N/A",122.55,1,true,true,true,true,true,41,"Licensed Vocational Nurse","G0540","N/A",122.55,1]
[41,"Licensed Vocational Nurse","H0003","N/A",122.55,1,true,true,true,true,true,41,"Licensed Vocational Nurse","H0003","N/A",122.55,1]
[41,"Licensed Vocational Nurse","H0049","N/A",122.55,1,true,true,true,true,true,41,"Licensed Vocational Nurse","H0049","N/A",122.55,1]
[41,"Medical Assistant","H0001","N/A",84.24,1,true,true,true,true,true,41,"Medical Assistant","H0001","N/A",84.24,1]
[41,"Medical Assistant","H2017","N/A",84.24,1,true,true,true,true,true,41,"Medical Assistant","H2017","N/A",84.24,1]
[41,"MFT/LPCC (Licensed, Waivered or Registered)",90791,"N/A",597.87,1,true,true,true,true,true,41,"MFT/LPCC (Licensed, Waivered or Registered)",90791,"N/A",597.87,1]
[41,"MFT/LPCC (Licensed, Waivered or Registered)",98967,"N/A",159.43,1,true,true,true,true,true,41,"MFT/LPCC (Licensed, Waivered or Registered)",98967,"N/A",159.43,1]
[41,"MFT/LPCC (Licensed, Waivered or Registered)","G0397","N/A",597.87,1,true,true,true,true,true,41,"MFT/LPCC (Licensed, Waivered or Registered)","G0397","N/A",597.87,1]
[41,"MFT/LPCC (Licensed, Waivered or Registered)","H1000","N/A",149.47,1,true,true,true,true,true,41,"MFT/LPCC (Licensed, Waivered or Registered)","H1000","N/A",149.47,1]
[41,"Nurse Practitioner",90846,"N/A",951.98,1,true,true,true,true,true,41,"Nurse Practitioner",90846,"N/A",951.98,1]
[41,"Nurse Practitioner",96130,"N/A",1142.3800000000001,1,true,true,true,true,true,41,"Nurse Practitioner",96130,"N/A",1142.3800000000001,1]
[41,"Nurse Practitioner",96203,"N/A",63.47,1,true,true,true,true,true,41,"Nurse Practitioner",96203,"N/A",63.47,1]
[41,"Nurse Practitioner",99234,"N/A",1085.26,1,true,true,true,true,true,41,"Nurse Practitioner",99234,"N/A",1085.26,1]
[41,"Nurse Practitioner",99342,"N/A",856.79,1,true,true,true,true,true,41,"Nurse Practitioner",99342,"N/A",856.79,1]
[41,"Nurse Practitioner",99408,"N/A",437.91,1,true,true,true,true,true,41,"Nurse Practitioner",99408,"N/A",437.91,1]
[41,"Nurse Practitioner",99441,"N/A",152.32,1,true,true,true,true,true,41,"Nurse Practitioner",99441,"N/A",152.32,1]
[41,"Nurse Practitioner","H0004","N/A",285.60000000000002,1,true,true,true,true,true,41,"Nurse Practitioner","H0004","N/A",285.60000000000002,1]
[41,"Nurse Practitioner","H2017","N/A",285.60000000000002,1,true,true,true,true,true,41,"Nurse Practitioner","H2017","N/A",285.60000000000002,1]
[41,"Nurse Practitioner","H2021","N/A",285.60000000000002,1,true,true,true,true,true,41,"Nurse Practitioner","H2021","N/A",285.60000000000002,1]
[41,"Occupational Therapist",96203,"N/A",44.21,1,true,true,true,true,true,41,"Occupational Therapist",96203,"N/A",44.21,1]
[41,"Occupational Therapist","G0540","N/A",198.97,1,true,true,true,true,true,41,"Occupational Therapist","G0540","N/A",198.97,1]
[41,"Occupational Therapist","H2014","N/A",198.97,1,true,true,true,true,true,41,"Occupational Therapist","H2014","N/A",198.97,1]
[41,"Other Qualified Practitioner","G0397","N/A",449.81,1,true,true,true,true,true,41,"Other Qualified Practitioner","G0397","N/A",449.81,1]
[41,"Other Qualified Practitioner","T1013","N/A",31.88,1,true,true,true,true,true,41,"Other Qualified Practitioner","T1013","N/A",31.88,1]
[41,"Physician Assistant",90791,"N/A",1030.32,1,true,true,true,true,true,41,"Physician Assistant",90791,"N/A",1030.32,1]
[41,"Physician Assistant",97550,"N/A",394.96,1,true,true,true,true,true,41,"Physician Assistant",97550,"N/A",394.96,1]
[41,"Physician Assistant",99212,"N/A",257.58,1,true,true,true,true,true,41,"Physician Assistant",99212,"N/A",257.58,1]
[41,"Physician Assistant",99309,"N/A",635.36,1,true,true,true,true,true,41,"Physician Assistant",99309,"N/A",635.36,1]
[41,"Physician Assistant",99368,"N/A",1030.32,1,true,true,true,true,true,41,"Physician Assistant",99368,"N/A",1030.32,1]
[41,"Physician Assistant",99441,"N/A",137.38,1,true,true,true,true,true,41,"Physician Assistant",99441,"N/A",137.38,1]
[41,"Physician Assistant","G0539","N/A",394.96,1,true,true,true,true,true,41,"Physician Assistant","G0539","N/A",394.96,1]
[41,"Physician Assistant","H0004","N/A",257.58,1,true,true,true,true,true,41,"Physician Assistant","H0004","N/A",257.58,1]
[41,"Physician Assistant","H2014","HQ",57.24,1,true,true,true,true,true,41,"Physician Assistant","H2014","HQ",57.24,1]
[41,"Physician Assistant","T2021","N/A",257.58,1,true,true,true,true,true,41,"Physician Assistant","T2021","N/A",257.58,1]
[41,"Psychologist (Licensed or Waivered)",90885,"N/A",923.89,1,true,true,true,true,true,41,"Psychologist (Licensed or Waivered)",90885,"N/A",923.89,1]
[41,"Psychologist (Licensed or Waivered)","G0540","N/A",230.97,1,true,true,true,true,true,41,"Psychologist (Licensed or Waivered)","G0540","N/A",230.97,1]
[41,"Psychologist (Licensed or Waivered)","H0005","N/A",51.33,1,true,true,true,true,true,41,"Psychologist (Licensed or Waivered)","H0005","N/A",51.33,1]
[41,"Psychologist (Licensed or Waivered)","T2021","N/A",230.97,1,true,true,true,true,true,41,"Psychologist (Licensed or Waivered)","T2021","N/A",230.97,1]
[41,"Registered Nurse",96202,"N/A",207.36,1,true,true,true,true,true,41,"Registered Nurse",96202,"N/A",207.36,1]
[41,"Registered Nurse",99437,"N/A",466.56,1,true,true,true,true,true,41,"Registered Nurse",99437,"N/A",466.56,1]
[41,"Registered Nurse","G0543","N/A",155.52000000000001,1,true,true,true,true,true,41,"Registered Nurse","G0543","N/A",155.52000000000001,1]
[41,"Registered Nurse","H2014","N/A",233.28,1,true,true,true,true,true,41,"Registered Nurse","H2014","N/A",233.28,1]
[41,"Registered Nurse","T1007","N/A",233.28,1,true,true,true,true,true,41,"Registered Nurse","T1007","N/A",233.28,1]
[41,"Registered Pharmacist","G0396","N/A",421.53,1,true,true,true,true,true,41,"Registered Pharmacist","G0396","N/A",421.53,1]
[41,"Registered Pharmacist","H2021","N/A",274.91000000000003,1,true,true,true,true,true,41,"Registered Pharmacist","H2021","N/A",274.91000000000003,1]
[42,"Certified AOD Counselor","G2011","N/A",48.6,1,true,true,true,true,true,42,"Certified AOD Counselor","G2011","N/A",48.6,1]
[42,"Certified AOD Counselor","H0049","N/A",72.900000000000006,1,true,true,true,true,true,42,"Certified AOD Counselor","H0049","N/A",72.900000000000006,1]
[42,"Community Health Worker",98960,"N/A",135.56,1,true,true,true,true,true,42,"Community Health Worker",98960,"N/A",135.56,1]
[42,"LCSW (Licensed, Waivered or Registered)",90887,"N/A",292.97000000000003,1,true,true,true,true,true,42,"LCSW (Licensed, Waivered or Registered)",90887,"N/A",292.97000000000003,1]
[42,"LCSW (Licensed, Waivered or Registered)",98966,"N/A",46.87,1,true,true,true,true,true,42,"LCSW (Licensed, Waivered or Registered)",98966,"N/A",46.87,1]
[42,"LCSW (Licensed, Waivered or Registered)","G0540","N/A",87.89,1,true,true,true,true,true,42,"LCSW (Licensed, Waivered or Registered)","G0540","N/A",87.89,1]
[42,"LCSW (Licensed, Waivered or Registered)","H2021","N/A",87.89,1,true,true,true,true,true,42,"LCSW (Licensed, Waivered or Registered)","H2021","N/A",87.89,1]
[42,"Licensed Physician",90849,"N/A",420.26,1,true,true,true,true,true,42,"Licensed Physician",90849,"N/A",420.26,1]
[42,"Licensed Physician",96203,"N/A",75.05,1,true,true,true,true,true,42,"Licensed Physician",96203,"N/A",75.05,1]
[42,"Licensed Physician",99204,"N/A",1170.72,1,true,true,true,true,true,42,"Licensed Physician",99204,"N/A",1170.72,1]
[42,"Licensed Physician",99304,"N/A",675.42,1,true,true,true,true,true,42,"Licensed Physician",99304,"N/A",675.42,1]
[42,"Licensed Physician",99409,"N/A",1350.83,1,true,true,true,true,true,42,"Licensed Physician",99409,"N/A",1350.83,1]
[42,"Licensed Physician",99418,"N/A",337.71,1,true,true,true,true,true,42,"Licensed Physician",99418,"N/A",337.71,1]
[42,"Licensed Physician","G0397","N/A",1350.83,1,true,true,true,true,true,42,"Licensed Physician","G0397","N/A",1350.83,1]
[42,"Licensed Physician","H0048","N/A",337.71,1,true,true,true,true,true,42,"Licensed Physician","H0048","N/A",337.71,1]
[42,"Licensed Physician","H2035","N/A",1350.83,1,true,true,true,true,true,42,"Licensed Physician","H2035","N/A",1350.83,1]
[42,"Licensed Physician","T2021","HQ",75.05,1,true,true,true,true,true,42,"Licensed Physician","T2021","HQ",75.05,1]
[42,"Licensed Psychiatric Technician",97550,"N/A",94.72,1,true,true,true,true,true,42,"Licensed Psychiatric Technician",97550,"N/A",94.72,1]
[42,"Licensed Psychiatric Technician","H0034","N/A",61.78,1,true,true,true,true,true,42,"Licensed Psychiatric Technician","H0034","N/A",61.78,1]
[42,"Licensed Psychiatric Technician","H2014","N/A",61.78,1,true,true,true,true,true,42,"Licensed Psychiatric Technician","H2014","N/A",61.78,1]
[42,"Licensed Psychiatric Technician","T1017","N/A",61.78,1,true,true,true,true,true,42,"Licensed Psychiatric Technician","T1017","N/A",61.78,1]
[42,"Licensed Vocational Nurse","G0543","N/A",48.04,1,true,true,true,true,true,42,"Licensed Vocational Nurse","G0543","N/A",48.04,1]
[42,"Licensed Vocational Nurse","H0009","N/A",72.06,1,true,true,true,true,true,42,"Licensed Vocational Nurse","H0009","N/A",72.06,1]
[42,"Licensed Vocational Nurse","T1013","N/A",31.88,1,true,true,true,true,true,42,"Licensed Vocational Nurse","T1013","N/A",31.88,1]
[42,"Medical Assistant","H0034","N/A",49.54,1,true,true,true,true,true,42,"Medical Assistant","H0034","N/A",49.54,1]
[42,"Medical Assistant","T1013","N/A",31.88,1,true,true,true,true,true,42,"Medical Assistant","T1013","N/A",31.88,1]
[42,"MFT/LPCC (Licensed, Waivered or Registered)",90849,"N/A",109.37,1,true,true,true,true,true,42,"MFT/LPCC (Licensed, Waivered or Registered)",90849,"N/A",109.37,1]
[42,"MFT/LPCC (Licensed, Waivered or Registered)","G0396","N/A",134.76,1,true,true,true,true,true,42,"MFT/LPCC (Licensed, Waivered or Registered)","G0396","N/A",134.76,1]
[42,"MFT/LPCC (Licensed, Waivered or Registered)","G0542","N/A",87.89,1,true,true,true,true,true,42,"MFT/LPCC (Licensed, Waivered or Registered)","G0542","N/A",87.89,1]
[42,"MFT/LPCC (Licensed, Waivered or Registered)","H2015","N/A",87.89,1,true,true,true,true,true,42,"MFT/LPCC (Licensed, Waivered or Registered)","H2015","N/A",87.89,1]
[42,"Nurse Practitioner",90846,"N/A",559.78,1,true,true,true,true,true,42,"Nurse Practitioner",90846,"N/A",559.78,1]
[42,"Nurse Practitioner",96170,"N/A",335.87,1,true,true,true,true,true,42,"Nurse Practitioner",96170,"N/A",335.87,1]
[42,"Nurse Practitioner",97552,"N/A",111.96,1,true,true,true,true,true,42,"Nurse Practitioner",97552,"N/A",111.96,1]
[42,"Nurse Practitioner",99239,"N/A",671.74,1,true,true,true,true,true,42,"Nurse Practitioner",99239,"N/A",671.74,1]
[42,"Nurse Practitioner",99347,"N/A",279.89,1,true,true,true,true,true,42,"Nurse Practitioner",99347,"N/A",279.89,1]
[42,"Nurse Practitioner",99408,"N/A",257.5,1,true,true,true,true,true,42,"Nurse Practitioner",99408,"N/A",257.5,1]
[42,"Nurse Practitioner",99491,"N/A",335.87,1,true,true,true,true,true,42,"Nurse Practitioner",99491,"N/A",335.87,1]
[42,"Nurse Practitioner","H0008","N/A",167.94,1,true,true,true,true,true,42,"Nurse Practitioner","H0008","N/A",167.94,1]
[42,"Nurse Practitioner","H0034","HQ",37.32,1,true,true,true,true,true,42,"Nurse Practitioner","H0034","HQ",37.32,1]
[42,"Nurse Practitioner","T1006","N/A",167.94,1,true,true,true,true,true,42,"Nurse Practitioner","T1006","N/A",167.94,1]
[42,"Occupational Therapist",96203,"N/A",26,1,true,true,true,true,true,42,"Occupational Therapist",96203,"N/A",26,1]
[42,"Occupational Therapist","H0007","N/A",117,1,true,true,true,true,true,42,"Occupational Therapist","H0007","N/A",117,1]
[42,"Occupational Therapist","H2017","N/A",117,1,true,true,true,true,true,42,"Occupational Therapist","H2017","N/A",117,1]
[42,"Other Qualified Practitioner","G0397","N/A",264.5,1,true,true,true,true,true,42,"Other Qualified Practitioner","G0397","N/A",264.5,1]
[42,"Peer Support Specialists","H0025","N/A",15.43,1,true,true,true,true,true,42,"Peer Support Specialists","H0025","N/A",15.43,1]
[42,"Physician Assistant",90791,"N/A",605.84,1,true,true,true,true,true,42,"Physician Assistant",90791,"N/A",605.84,1]
[42,"Physician Assistant",96170,"N/A",302.92,1,true,true,true,true,true,42,"Physician Assistant",96170,"N/A",302.92,1]
[42,"Physician Assistant",99215,"N/A",474.57,1,true,true,true,true,true,42,"Physician Assistant",99215,"N/A",474.57,1]
[42,"Physician Assistant",99309,"N/A",373.6,1,true,true,true,true,true,42,"Physician Assistant",99309,"N/A",373.6,1]
[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",99442,"N/A",161.56,1,true,true,true,true,true,42,"Physician Assistant",99442,"N/A",161.56,1]
[42,"Physician Assistant","G0540","N/A",151.46,1,true,true,true,true,true,42,"Physician Assistant","G0540","N/A",151.46,1]
[42,"Physician Assistant","H0008","N/A",151.46,1,true,true,true,true,true,42,"Physician Assistant","H0008","N/A",151.46,1]
[42,"Physician Assistant","H2014","HQ",33.659999999999997,1,true,true,true,true,true,42,"Physician Assistant","H2014","HQ",33.659999999999997,1]
[42,"Psychologist (Licensed or Waivered)",90847,"N/A",452.72,1,true,true,true,true,true,42,"Psychologist (Licensed or Waivered)",90847,"N/A",452.72,1]
[42,"Psychologist (Licensed or Waivered)",97552,"N/A",90.54,1,true,true,true,true,true,42,"Psychologist (Licensed or Waivered)",97552,"N/A",90.54,1]
[42,"Psychologist (Licensed or Waivered)","G0541","N/A",208.25,1,true,true,true,true,true,42,"Psychologist (Licensed or Waivered)","G0541","N/A",208.25,1]
[42,"Psychologist (Licensed or Waivered)","H0050","N/A",135.82,1,true,true,true,true,true,42,"Psychologist (Licensed or Waivered)","H0050","N/A",135.82,1]
[42,"Psychologist (Licensed or Waivered)","T2021","N/A",135.82,1,true,true,true,true,true,42,"Psychologist (Licensed or Waivered)","T2021","N/A",135.82,1]
[42,"Registered Nurse",90889,"N/A",137.16999999999999,1,true,true,true,true,true,42,"Registered Nurse",90889,"N/A",137.16999999999999,1]
[42,"Registered Nurse","G0397","N/A",548.69000000000005,1,true,true,true,true,true,42,"Registered Nurse","G0397","N/A",548.69000000000005,1]
[42,"Registered Nurse","G0543","N/A",91.45,1,true,true,true,true,true,42,"Registered Nurse","G0543","N/A",91.45,1]
[42,"Registered Nurse","H0048","N/A",137.16999999999999,1,true,true,true,true,true,42,"Registered Nurse","H0048","N/A",137.16999999999999,1]
[42,"Registered Pharmacist","G0396","N/A",247.87,1,true,true,true,true,true,42,"Registered Pharmacist","G0396","N/A",247.87,1]
[42,"Registered Pharmacist","G0540","N/A",161.65,1,true,true,true,true,true,42,"Registered Pharmacist","G0540","N/A",161.65,1]
[42,"Registered Pharmacist","H0034","N/A",161.65,1,true,true,true,true,true,42,"Registered Pharmacist","H0034","N/A",161.65,1]
[43,"Certified AOD Counselor","G2011","N/A",78.87,1,true,true,true,true,true,43,"Certified AOD Counselor","G2011","N/A",78.87,1]
[43,"Certified AOD Counselor","H2017","HQ",26.29,1,true,true,true,true,true,43,"Certified AOD Counselor","H2017","HQ",26.29,1]
[43,"Community Health Worker",98960,"N/A",219.97,1,true,true,true,true,true,43,"Community Health Worker",98960,"N/A",219.97,1]
[43,"LCSW (Licensed, Waivered or Registered)",96170,"N/A",285.24,1,true,true,true,true,true,43,"LCSW (Licensed, Waivered or Registered)",96170,"N/A",285.24,1]
[43,"LCSW (Licensed, Waivered or Registered)",99368,"N/A",570.48,1,true,true,true,true,true,43,"LCSW (Licensed, Waivered or Registered)",99368,"N/A",570.48,1]
[43,"LCSW (Licensed, Waivered or Registered)","H2014","N/A",142.62,1,true,true,true,true,true,43,"LCSW (Licensed, Waivered or Registered)","H2014","N/A",142.62,1]
[43,"LCSW (Licensed, Waivered or Registered)","T1006","N/A",142.62,1,true,true,true,true,true,43,"LCSW (Licensed, Waivered or Registered)","T1006","N/A",142.62,1]
[43,"Licensed Physician",90849,"N/A",681.96,1,true,true,true,true,true,43,"Licensed Physician",90849,"N/A",681.96,1]
[43,"Licensed Physician",90887,"N/A",1826.68,1,true,true,true,true,true,43,"Licensed Physician",90887,"N/A",1826.68,1]
[43,"Licensed Physician",99235,"N/A",2813.09,1,true,true,true,true,true,43,"Licensed Physician",99235,"N/A",2813.09,1]
[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",99344,"N/A",2447.7600000000002,1,true,true,true,true,true,43,"Licensed Physician",99344,"N/A",2447.7600000000002,1]
[43,"Licensed Physician",99418,"N/A",548.01,1,true,true,true,true,true,43,"Licensed Physician",99418,"N/A",548.01,1]
[43,"Licensed Physician","G0541","N/A",840.27,1,true,true,true,true,true,43,"Licensed Physician","G0541","N/A",840.27,1]
[43,"Licensed Physician","H0009","N/A",548.01,1,true,true,true,true,true,43,"Licensed Physician","H0009","N/A",548.01,1]
[43,"Licensed Physician","H2035","N/A",2192.02,1,true,true,true,true,true,43,"Licensed Physician","H2035","N/A",2192.02,1]
[43,"Licensed Psychiatric Technician",90785,"N/A",18.89,1,true,true,true,true,true,43,"Licensed Psychiatric Technician",90785,"N/A",18.89,1]
[43,"Licensed Psychiatric Technician","G0397","N/A",400.98,1,true,true,true,true,true,43,"Licensed Psychiatric Technician","G0397","N/A",400.98,1]
[43,"Licensed Psychiatric Technician","H0049","N/A",100.25,1,true,true,true,true,true,43,"Licensed Psychiatric Technician","H0049","N/A",100.25,1]
[43,"Licensed Psychiatric Technician","H2017","N/A",100.25,1,true,true,true,true,true,43,"Licensed Psychiatric Technician","H2017","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","H0003","N/A",116.93,1,true,true,true,true,true,43,"Licensed Vocational Nurse","H0003","N/A",116.93,1]
[43,"Licensed Vocational Nurse","H2014","HQ",25.99,1,true,true,true,true,true,43,"Licensed Vocational Nurse","H2014","HQ",25.99,1]
[43,"Licensed Vocational Nurse","H2027","N/A",116.93,1,true,true,true,true,true,43,"Licensed Vocational Nurse","H2027","N/A",116.93,1]
[43,"Medical Assistant","H0049","N/A",80.38,1,true,true,true,true,true,43,"Medical Assistant","H0049","N/A",80.38,1]
[43,"Medical Assistant","T1013","N/A",31.88,1,true,true,true,true,true,43,"Medical Assistant","T1013","N/A",31.88,1]
[43,"MFT/LPCC (Licensed, Waivered or Registered)",90887,"N/A",475.4,1,true,true,true,true,true,43,"MFT/LPCC (Licensed, Waivered or Registered)",90887,"N/A",475.4,1]
[43,"MFT/LPCC (Licensed, Waivered or Registered)",98966,"N/A",76.06,1,true,true,true,true,true,43,"MFT/LPCC (Licensed, Waivered or Registered)",98966,"N/A",76.06,1]
[43,"MFT/LPCC (Licensed, Waivered or Registered)","G0542","N/A",142.62,1,true,true,true,true,true,43,"MFT/LPCC (Licensed, Waivered or Registered)","G0542","N/A",142.62,1]
[43,"MFT/LPCC (Licensed, Waivered or Registered)","H2021","N/A",142.62,1,true,true,true,true,true,43,"MFT/LPCC (Licensed, Waivered or Registered)","H2021","N/A",142.62,1]
[43,"Nurse Practitioner",90882,"N/A",272.51,1,true,true,true,true,true,43,"Nurse Practitioner",90882,"N/A",272.51,1]
[43,"Nurse Practitioner",96203,"N/A",60.56,1,true,true,true,true,true,43,"Nurse Practitioner",96203,"N/A",60.56,1]
[43,"Nurse Practitioner",98968,"N/A",472.35,1,true,true,true,true,true,43,"Nurse Practitioner",98968,"N/A",472.35,1]
[43,"Nurse Practitioner",99239,"N/A",1090.03,1,true,true,true,true,true,43,"Nurse Practitioner",99239,"N/A",1090.03,1]
[43,"Nurse Practitioner",99350,"N/A",1217.2,1,true,true,true,true,true,43,"Nurse Practitioner",99350,"N/A",1217.2,1]
[43,"Nurse Practitioner",99417,"N/A",272.51,1,true,true,true,true,true,43,"Nurse Practitioner",99417,"N/A",272.51,1]
[43,"Nurse Practitioner","G0316","N/A",272.51,1,true,true,true,true,true,43,"Nurse Practitioner","G0316","N/A",272.51,1]
[43,"Nurse Practitioner","H0034","N/A",272.51,1,true,true,true,true,true,43,"Nurse Practitioner","H0034","N/A",272.51,1]
[43,"Nurse Practitioner","H2035","N/A",1090.03,1,true,true,true,true,true,43,"Nurse Practitioner","H2035","N/A",1090.03,1]
[43,"Nurse Practitioner","T1017","N/A",272.51,1,true,true,true,true,true,43,"Nurse Practitioner","T1017","N/A",272.51,1]
[43,"Occupational Therapist",96203,"N/A",42.19,1,true,true,true,true,true,43,"Occupational Therapist",96203,"N/A",42.19,1]
[43,"Occupational Therapist","H2014","N/A",189.85,1,true,true,true,true,true,43,"Occupational Therapist","H2014","N/A",189.85,1]
[43,"Occupational Therapist","H2027","N/A",189.85,1,true,true,true,true,true,43,"Occupational Therapist","H2027","N/A",189.85,1]
[43,"Other Qualified Practitioner","H0050","N/A",107.3,1,true,true,true,true,true,43,"Other Qualified Practitioner","H0050","N/A",107.3,1]
[43,"Physician Assistant",90785,"N/A",18.89,1,true,true,true,true,true,43,"Physician Assistant",90785,"N/A",18.89,1]
[43,"Physician Assistant",96160,"N/A",245.78,1,true,true,true,true,true,43,"Physician Assistant",96160,"N/A",245.78,1]
[43,"Physician Assistant",96203,"N/A",54.62,1,true,true,true,true,true,43,"Physician Assistant",96203,"N/A",54.62,1]
[43,"Physician Assistant",99236,"N/A",1507.44,1,true,true,true,true,true,43,"Physician Assistant",99236,"N/A",1507.44,1]
[43,"Physician Assistant",99344,"N/A",1097.81,1,true,true,true,true,true,43,"Physician Assistant",99344,"N/A",1097.81,1]
[43,"Physician Assistant",99350,"N/A",1097.81,1,true,true,true,true,true,43,"Physician Assistant",99350,"N/A",1097.81,1]
[43,"Physician Assistant",99442,"N/A",262.16000000000003,1,true,true,true,true,true,43,"Physician Assistant",99442,"N/A",262.16000000000003,1]
[43,"Physician Assistant","H0004","N/A",245.78,1,true,true,true,true,true,43,"Physician Assistant","H0004","N/A",245.78,1]
[43,"Physician Assistant","H0034","N/A",245.78,1,true,true,true,true,true,43,"Physician Assistant","H0034","N/A",245.78,1]
[43,"Physician Assistant","T2021","HQ",54.62,1,true,true,true,true,true,43,"Physician Assistant","T2021","HQ",54.62,1]
[43,"Psychologist (Licensed or Waivered)",90885,"N/A",881.56,1,true,true,true,true,true,43,"Psychologist (Licensed or Waivered)",90885,"N/A",881.56,1]
[43,"Psychologist (Licensed or Waivered)",97552,"N/A",146.93,1,true,true,true,true,true,43,"Psychologist (Licensed or Waivered)",97552,"N/A",146.93,1]
[43,"Psychologist (Licensed or Waivered)","G0396","N/A",337.93,1,true,true,true,true,true,43,"Psychologist (Licensed or Waivered)","G0396","N/A",337.93,1]
[43,"Psychologist (Licensed or Waivered)","H2014","HQ",48.98,1,true,true,true,true,true,43,"Psychologist (Licensed or Waivered)","H2014","HQ",48.98,1]
[43,"Psychologist (Licensed or Waivered)","T2021","N/A",220.39,1,true,true,true,true,true,43,"Psychologist (Licensed or Waivered)","T2021","N/A",220.39,1]
[43,"Registered Nurse",96171,"N/A",222.59,1,true,true,true,true,true,43,"Registered Nurse",96171,"N/A",222.59,1]
[43,"Registered Nurse",99437,"N/A",445.19,1,true,true,true,true,true,43,"Registered Nurse",99437,"N/A",445.19,1]
[43,"Registered Nurse","H0005","N/A",49.47,1,true,true,true,true,true,43,"Registered Nurse","H0005","N/A",49.47,1]
[43,"Registered Nurse","H1000","N/A",222.59,1,true,true,true,true,true,43,"Registered Nurse","H1000","N/A",222.59,1]
[43,"Registered Pharmacist","G0396","N/A",402.22,1,true,true,true,true,true,43,"Registered Pharmacist","G0396","N/A",402.22,1]
[43,"Registered Pharmacist","H0008","N/A",262.32,1,true,true,true,true,true,43,"Registered Pharmacist","H0008","N/A",262.32,1]
[43,"Registered Pharmacist","H0049","N/A",262.32,1,true,true,true,true,true,43,"Registered Pharmacist","H0049","N/A",262.32,1]
[44,"Certified AOD Counselor","G2011","N/A",57.5,1,true,true,true,true,true,44,"Certified AOD Counselor","G2011","N/A",57.5,1]
[44,"Certified AOD Counselor","H2035","N/A",345.01,1,true,true,true,true,true,44,"Certified AOD Counselor","H2035","N/A",345.01,1]
[44,"Community Health Worker",98960,"N/A",160.38,1,true,true,true,true,true,44,"Community Health Worker",98960,"N/A",160.38,1]
[44,"LCSW (Licensed, Waivered or Registered)",90885,"N/A",415.94,1,true,true,true,true,true,44,"LCSW (Licensed, Waivered or Registered)",90885,"N/A",415.94,1]
[44,"LCSW (Licensed, Waivered or Registered)","G0539","N/A",159.44,1,true,true,true,true,true,44,"LCSW (Licensed, Waivered or Registered)","G0539","N/A",159.44,1]
[44,"LCSW (Licensed, Waivered or Registered)","H2014","N/A",103.99,1,true,true,true,true,true,44,"LCSW (Licensed, Waivered or Registered)","H2014","N/A",103.99,1]
[44,"LCSW (Licensed, Waivered or Registered)","H2017","HQ",23.11,1,true,true,true,true,true,44,"LCSW (Licensed, Waivered or Registered)","H2017","HQ",23.11,1]
[44,"Licensed Physician",90849,"N/A",497.22,1,true,true,true,true,true,44,"Licensed Physician",90849,"N/A",497.22,1]
[44,"Licensed Physician",96131,"N/A",1598.21,1,true,true,true,true,true,44,"Licensed Physician",96131,"N/A",1598.21,1]
[44,"Licensed Physician",99203,"N/A",985.56,1,true,true,true,true,true,44,"Licensed Physician",99203,"N/A",985.56,1]
[44,"Licensed Physician",99304,"N/A",799.11,1,true,true,true,true,true,44,"Licensed Physician",99304,"N/A",799.11,1]
[44,"Licensed Physician",99408,"N/A",612.65,1,true,true,true,true,true,44,"Licensed Physician",99408,"N/A",612.65,1]
[44,"Licensed Physician","G0396","N/A",612.65,1,true,true,true,true,true,44,"Licensed Physician","G0396","N/A",612.65,1]
[44,"Licensed Physician","G2011","N/A",266.37,1,true,true,true,true,true,44,"Licensed Physician","G2011","N/A",266.37,1]
[44,"Licensed Physician","H0034","HQ",88.79,1,{"$f":"EXACT(A20419,L20419)","v":true},{"$f":"EXACT(B20419,M20419)","v":true},{"$f":"EXACT(C20419,N20419)","v":true},{"$f":"EXACT(D20419,O20419)","v":true},{"$f":"EXACT(E20419,P20419)","v":true},44,"Licensed Physician","H0034","HQ",88.79,1]
[44,"Licensed Physician","H2035","N/A",1598.21,1,true,true,true,true,true,44,"Licensed Physician","H2035","N/A",1598.21,1]
[44,"Licensed Psychiatric Technician",96203,"N/A",16.239999999999998,1,true,true,true,true,true,44,"Licensed Psychiatric Technician",96203,"N/A",16.239999999999998,1]
[44,"Licensed Psychiatric Technician","G0397","N/A",292.36,1,true,true,true,true,true,44,"Licensed Psychiatric Technician","G0397","N/A",292.36,1]
[44,"Licensed Psychiatric Technician","H0003","N/A",73.09,1,true,true,true,true,true,44,"Licensed Psychiatric Technician","H0003","N/A",73.09,1]
[44,"Licensed Psychiatric Technician","T1017","N/A",73.09,1,true,true,true,true,true,44,"Licensed Psychiatric Technician","T1017","N/A",73.09,1]
[44,"Licensed Vocational Nurse","G0396","N/A",130.72999999999999,1,true,true,true,true,true,44,"Licensed Vocational Nurse","G0396","N/A",130.72999999999999,1]
[44,"Licensed Vocational Nurse","G0397","N/A",341.03,1,true,true,true,true,true,44,"Licensed Vocational Nurse","G0397","N/A",341.03,1]
[44,"Licensed Vocational Nurse","H2014","HQ",18.95,1,true,true,true,true,true,44,"Licensed Vocational Nurse","H2014","HQ",18.95,1]
[44,"Licensed Vocational Nurse","T1013","N/A",31.88,1,true,true,true,true,true,44,"Licensed Vocational Nurse","T1013","N/A",31.88,1]
[44,"Medical Assistant","H0033","N/A",58.61,1,true,true,true,true,true,44,"Medical Assistant","H0033","N/A",58.61,1]
[44,"Medical Assistant","T1013","N/A",31.88,1,true,true,true,true,true,44,"Medical Assistant","T1013","N/A",31.88,1]
[44,"MFT/LPCC (Licensed, Waivered or Registered)",96170,"N/A",207.97,1,true,true,true,true,true,44,"MFT/LPCC (Licensed, Waivered or Registered)",96170,"N/A",207.97,1]
[44,"MFT/LPCC (Licensed, Waivered or Registered)",98967,"N/A",110.92,1,true,true,true,true,true,44,"MFT/LPCC (Licensed, Waivered or Registered)",98967,"N/A",110.92,1]
[44,"MFT/LPCC (Licensed, Waivered or Registered)","H2015","N/A",103.99,1,true,true,true,true,true,44,"MFT/LPCC (Licensed, Waivered or Registered)","H2015","N/A",103.99,1]
[44,"MFT/LPCC (Licensed, Waivered or Registered)","T1006","N/A",103.99,1,true,true,true,true,true,44,"MFT/LPCC (Licensed, Waivered or Registered)","T1006","N/A",103.99,1]
[44,"Nurse Practitioner",90882,"N/A",198.69,1,true,true,true,true,true,44,"Nurse Practitioner",90882,"N/A",198.69,1]
[44,"Nurse Practitioner",97552,"N/A",132.46,1,true,true,true,true,true,44,"Nurse Practitioner",97552,"N/A",132.46,1]
[44,"Nurse Practitioner",99212,"N/A",198.69,1,true,true,true,true,true,44,"Nurse Practitioner",99212,"N/A",198.69,1]
[44,"Nurse Practitioner",99304,"N/A",397.38,1,true,true,true,true,true,44,"Nurse Practitioner",99304,"N/A",397.38,1]
[44,"Nurse Practitioner",99409,"N/A",794.75,1,true,true,true,true,true,44,"Nurse Practitioner",99409,"N/A",794.75,1]
[44,"Nurse Practitioner",99417,"N/A",198.69,1,true,true,true,true,true,44,"Nurse Practitioner",99417,"N/A",198.69,1]
[44,"Nurse Practitioner","G0539","N/A",304.64999999999998,1,true,true,true,true,true,44,"Nurse Practitioner","G0539","N/A",304.64999999999998,1]
[44,"Nurse Practitioner","H0007","N/A",198.69,1,true,true,true,true,true,44,"Nurse Practitioner","H0007","N/A",198.69,1]
[44,"Nurse Practitioner","H2035","N/A",794.75,1,true,true,true,true,true,44,"Nurse Practitioner","H2035","N/A",794.75,1]
[44,"Nurse Practitioner","T2021",22,201.7,1,true,true,true,true,true,44,"Nurse Practitioner","T2021",22,201.7,1]
[44,"Occupational Therapist","G0539","N/A",212.24,1,true,true,true,true,true,44,"Occupational Therapist","G0539","N/A",212.24,1]
[44,"Occupational Therapist","H2017","N/A",138.41999999999999,1,true,true,true,true,true,44,"Occupational Therapist","H2017","N/A",138.41999999999999,1]
[44,"Occupational Therapist","T1017","N/A",138.41999999999999,1,true,true,true,true,true,44,"Occupational Therapist","T1017","N/A",138.41999999999999,1]
[44,"Other Qualified Practitioner","H0050","N/A",78.239999999999995,1,true,true,true,true,true,44,"Other Qualified Practitioner","H0050","N/A",78.239999999999995,1]
[44,"Physician Assistant",90846,"N/A",597.33000000000004,1,true,true,true,true,true,44,"Physician Assistant",90846,"N/A",597.33000000000004,1]
[44,"Physician Assistant",90849,"N/A",223,1,true,true,true,true,true,44,"Physician Assistant",90849,"N/A",223,1]
[44,"Physician Assistant",97552,"N/A",119.47,1,true,true,true,true,true,44,"Physician Assistant",97552,"N/A",119.47,1]
[44,"Physician Assistant",99304,"N/A",358.4,1,true,true,true,true,true,44,"Physician Assistant",99304,"N/A",358.4,1]
[44,"Physician Assistant",99344,"N/A",800.42,1,true,true,true,true,true,44,"Physician Assistant",99344,"N/A",800.42,1]
[44,"Physician Assistant",99409,"N/A",716.79,1,true,true,true,true,true,44,"Physician Assistant",99409,"N/A",716.79,1]
[44,"Physician Assistant",99496,"N/A",895.99,1,true,true,true,true,true,44,"Physician Assistant",99496,"N/A",895.99,1]
[44,"Physician Assistant","H0008","N/A",179.2,1,true,true,true,true,true,44,"Physician Assistant","H0008","N/A",179.2,1]
[44,"Physician Assistant","H0049","N/A",179.2,1,true,true,true,true,true,44,"Physician Assistant","H0049","N/A",179.2,1]
[44,"Physician Assistant","H2021","N/A",179.2,1,true,true,true,true,true,44,"Physician Assistant","H2021","N/A",179.2,1]
[44,"Psychologist (Licensed or Waivered)",96130,"N/A",642.75,1,true,true,true,true,true,44,"Psychologist (Licensed or Waivered)",96130,"N/A",642.75,1]
[44,"Psychologist (Licensed or Waivered)",97552,"N/A",107.13,1,true,true,true,true,true,44,"Psychologist (Licensed or Waivered)",97552,"N/A",107.13,1]
[44,"Psychologist (Licensed or Waivered)","G0540","N/A",160.69,1,true,true,true,true,true,44,"Psychologist (Licensed or Waivered)","G0540","N/A",160.69,1]
[44,"Psychologist (Licensed or Waivered)","T1006","N/A",160.69,1,true,true,true,true,true,44,"Psychologist (Licensed or Waivered)","T1006","N/A",160.69,1]
[44,"Registered Nurse",90785,"N/A",18.89,1,true,true,true,true,true,44,"Registered Nurse",90785,"N/A",18.89,1]
[44,"Registered Nurse",97550,"N/A",248.85,1,true,true,true,true,true,44,"Registered Nurse",97550,"N/A",248.85,1]
[44,"Registered Nurse","H0004","N/A",162.29,1,true,true,true,true,true,44,"Registered Nurse","H0004","N/A",162.29,1]
[44,"Registered Nurse","H0048","N/A",162.29,1,true,true,true,true,true,44,"Registered Nurse","H0048","N/A",162.29,1]
[44,"Registered Nurse","H2015","N/A",162.29,1,true,true,true,true,true,44,"Registered Nurse","H2015","N/A",162.29,1]
[44,"Registered Pharmacist","G0396","N/A",293.26,1,true,true,true,true,true,44,"Registered Pharmacist","G0396","N/A",293.26,1]
[44,"Registered Pharmacist","H0034","N/A",191.26,1,true,true,true,true,true,44,"Registered Pharmacist","H0034","N/A",191.26,1]
[44,"Registered Pharmacist","H2021","N/A",191.26,1,true,true,true,true,true,44,"Registered Pharmacist","H2021","N/A",191.26,1]
[49,"Certified AOD Counselor","H0001","N/A",85.53,1,true,true,true,true,true,49,"Certified AOD Counselor","H0001","N/A",85.53,1]
[49,"Certified AOD Counselor","T1013","N/A",31.88,1,true,true,true,true,true,49,"Certified AOD Counselor","T1013","N/A",31.88,1]
[49,"LCSW (Licensed, Waivered or Registered)",90887,"N/A",343.7,1,true,true,true,true,true,49,"LCSW (Licensed, Waivered or Registered)",90887,"N/A",343.7,1]
[49,"LCSW (Licensed, Waivered or Registered)",96160,"N/A",103.11,1,true,true,true,true,true,49,"LCSW (Licensed, Waivered or Registered)",96160,"N/A",103.11,1]
[49,"LCSW (Licensed, Waivered or Registered)","G0542","N/A",103.11,1,{"$f":"EXACT(A21059,L21059)","v":true},{"$f":"EXACT(B21059,M21059)","v":true},{"$f":"EXACT(C21059,N21059)","v":true},{"$f":"EXACT(D21059,O21059)","v":true},{"$f":"EXACT(E21059,P21059)","v":true},49,"LCSW (Licensed, Waivered or Registered)","G0542","N/A",103.11,1]
[49,"LCSW (Licensed, Waivered or Registered)","H2017","HQ",22.91,1,true,true,true,true,true,49,"LCSW (Licensed, Waivered or Registered)","H2017","HQ",22.91,1]
[49,"LCSW (Licensed, Waivered or Registered)","H2035","N/A",412.44,1,true,true,true,true,true,49,"LCSW (Licensed, Waivered or Registered)","H2035","N/A",412.44,1]
[49,"Licensed Physician",90849,"N/A",493.04,1,true,true,true,true,true,49,"Licensed Physician",90849,"N/A",493.04,1]
[49,"Licensed Physician",97551,"N/A",396.19,1,true,true,true,true,true,49,"Licensed Physician",97551,"N/A",396.19,1]
[49,"Licensed Physician",99212,"N/A",396.19,1,true,true,true,true,true,49,"Licensed Physician",99212,"N/A",396.19,1]
[49,"Licensed Physician",99348,"N/A",924.45,1,true,true,true,true,true,49,"Licensed Physician",99348,"N/A",924.45,1]
[49,"Licensed Physician",99416,"N/A",792.39,1,true,true,true,true,true,49,"Licensed Physician",99416,"N/A",792.39,1]
[49,"Licensed Physician","G0396","N/A",607.5,1,true,true,true,true,true,49,"Licensed Physician","G0396","N/A",607.5,1]
[49,"Licensed Physician","G0540","N/A",396.19,1,true,true,true,true,true,49,"Licensed Physician","G0540","N/A",396.19,1]
[49,"Licensed Physician","H0050","N/A",396.19,1,true,true,true,true,true,49,"Licensed Physician","H0050","N/A",396.19,1]
[49,"Licensed Physician","H2035","N/A",1584.77,1,true,true,true,true,true,49,"Licensed Physician","H2035","N/A",1584.77,1]
[49,"Licensed Physician","T2024","N/A",396.19,1,true,true,true,true,true,49,"Licensed Physician","T2024","N/A",396.19,1]
[49,"Licensed Psychiatric Technician","G0397","N/A",289.89999999999998,1,true,true,true,true,true,49,"Licensed Psychiatric Technician","G0397","N/A",289.89999999999998,1]
[49,"Licensed Psychiatric Technician","H0009","N/A",72.48,1,true,true,true,true,true,49,"Licensed Psychiatric Technician","H0009","N/A",72.48,1]
[49,"Licensed Psychiatric Technician","H2015","N/A",72.48,1,true,true,true,true,true,49,"Licensed Psychiatric Technician","H2015","N/A",72.48,1]
[49,"Licensed Vocational Nurse","G0396","N/A",129.63,1,true,true,true,true,true,49,"Licensed Vocational Nurse","G0396","N/A",129.63,1]
[49,"Licensed Vocational Nurse","H0001","N/A",84.54,1,{"$f":"EXACT(A21251,L21251)","v":true},{"$f":"EXACT(B21251,M21251)","v":true},{"$f":"EXACT(C21251,N21251)","v":true},{"$f":"EXACT(D21251,O21251)","v":true},{"$f":"EXACT(E21251,P21251)","v":true},49,"Licensed Vocational Nurse","H0001","N/A",84.54,1]
[49,"Licensed Vocational Nurse","H2014","HQ",18.79,1,true,true,true,true,true,49,"Licensed Vocational Nurse","H2014","HQ",18.79,1]
[49,"Medical Assistant",90882,"N/A",58.12,1,true,true,true,true,true,49,"Medical Assistant",90882,"N/A",58.12,1]
[49,"Medical Assistant","H0048","N/A",58.12,1,true,true,true,true,true,49,"Medical Assistant","H0048","N/A",58.12,1]
[49,"Medical Assistant","T1013","N/A",31.88,1,true,true,true,true,true,49,"Medical Assistant","T1013","N/A",31.88,1]
[49,"MFT/LPCC (Licensed, Waivered or Registered)",98966,"N/A",54.99,1,true,true,true,true,true,49,"MFT/LPCC (Licensed, Waivered or Registered)",98966,"N/A",54.99,1]
[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)","H0004","N/A",103.11,1,true,true,true,true,true,49,"MFT/LPCC (Licensed, Waivered or Registered)","H0004","N/A",103.11,1]
[49,"MFT/LPCC (Licensed, Waivered or Registered)","T2024","N/A",103.11,1,true,true,true,true,true,49,"MFT/LPCC (Licensed, Waivered or Registered)","T2024","N/A",103.11,1]
[49,"Nurse Practitioner",90882,"N/A",197.02,1,true,true,true,true,true,49,"Nurse Practitioner",90882,"N/A",197.02,1]
[49,"Nurse Practitioner",96131,"N/A",788.07,1,true,true,true,true,true,49,"Nurse Practitioner",96131,"N/A",788.07,1]
[49,"Nurse Practitioner",99212,"N/A",197.02,1,true,true,true,true,true,49,"Nurse Practitioner",99212,"N/A",197.02,1]
[49,"Nurse Practitioner",99307,"N/A",197.02,1,true,true,true,true,true,49,"Nurse Practitioner",99307,"N/A",197.02,1]
[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",99417,"N/A",197.02,1,true,true,true,true,true,49,"Nurse Practitioner",99417,"N/A",197.02,1]
[49,"Nurse Practitioner","G0542","N/A",197.02,1,true,true,true,true,true,49,"Nurse Practitioner","G0542","N/A",197.02,1]
[49,"Nurse Practitioner","H1000","N/A",197.02,1,true,true,true,true,true,49,"Nurse Practitioner","H1000","N/A",197.02,1]
[49,"Nurse Practitioner","T1017","N/A",197.02,1,true,true,true,true,true,49,"Nurse Practitioner","T1017","N/A",197.02,1]
[49,"Occupational Therapist",96170,"N/A",274.51,1,true,true,true,true,true,49,"Occupational Therapist",96170,"N/A",274.51,1]
[49,"Occupational Therapist","G0539","N/A",210.46,1,true,true,true,true,true,49,"Occupational Therapist","G0539","N/A",210.46,1]
[49,"Occupational Therapist","H2027","N/A",137.26,1,true,true,true,true,true,49,"Occupational Therapist","H2027","N/A",137.26,1]
[49,"Other Qualified Practitioner","H0001","N/A",77.58,1,true,true,true,true,true,49,"Other Qualified Practitioner","H0001","N/A",77.58,1]
[49,"Other Qualified Practitioner","H0050","N/A",77.58,1,true,true,true,true,true,49,"Other Qualified Practitioner","H0050","N/A",77.58,1]
[49,"Physician Assistant",90865,"N/A",1066.1400000000001,1,true,true,true,true,true,49,"Physician Assistant",90865,"N/A",1066.1400000000001,1]
[49,"Physician Assistant",96203,"N/A",39.49,1,true,true,true,true,true,49,"Physician Assistant",96203,"N/A",39.49,1]
[49,"Physician Assistant",98968,"N/A",308,1,true,true,true,true,true,49,"Physician Assistant",98968,"N/A",308,1]
[49,"Physician Assistant",99235,"N/A",912.14,1,true,true,true,true,true,49,"Physician Assistant",99235,"N/A",912.14,1]
[49,"Physician Assistant",99344,"N/A",793.68,1,true,true,true,true,true,49,"Physician Assistant",99344,"N/A",793.68,1]
[49,"Physician Assistant",99417,"N/A",177.69,1,true,true,true,true,true,49,"Physician Assistant",99417,"N/A",177.69,1]
[49,"Physician Assistant",99496,"N/A",888.45,1,true,true,true,true,true,49,"Physician Assistant",99496,"N/A",888.45,1]
[49,"Physician Assistant","H0034","N/A",177.69,1,true,true,true,true,true,49,"Physician Assistant","H0034","N/A",177.69,1]
[49,"Physician Assistant","H2014","N/A",177.69,1,true,true,true,true,true,49,"Physician Assistant","H2014","N/A",177.69,1]
[49,"Psychologist (Licensed or Waivered)",90791,"N/A",637.34,1,true,true,true,true,true,49,"Psychologist (Licensed or Waivered)",90791,"N/A",637.34,1]
[49,"Psychologist (Licensed or Waivered)",96170,"N/A",318.67,1,true,true,true,true,true,49,"Psychologist (Licensed or Waivered)",96170,"N/A",318.67,1]
[49,"Psychologist (Licensed or Waivered)",99368,"N/A",637.34,{"$f":"IF(C21641=\"G0323\",9,1)","v":1},true,true,true,true,true,49,"Psychologist (Licensed or Waivered)",99368,"N/A",637.34,{"$f":"IF(OR(N21641=\"H0036\",N21641=\"G0323\"),9,1)","v":1}]
[49,"Psychologist (Licensed or Waivered)","G0543","N/A",106.22,1,true,true,true,true,true,49,"Psychologist (Licensed or Waivered)","G0543","N/A",106.22,1]
[49,"Psychologist (Licensed or Waivered)","T1017","N/A",159.34,1,true,true,true,true,true,49,"Psychologist (Licensed or Waivered)","T1017","N/A",159.34,1]
[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",99238,"N/A",321.86,1,true,true,true,true,true,49,"Registered Nurse",99238,"N/A",321.86,1]
[49,"Registered Nurse","G0539","N/A",246.76,1,true,true,true,true,true,49,"Registered Nurse","G0539","N/A",246.76,1]
[49,"Registered Nurse","H1000","N/A",160.93,1,true,true,true,true,true,49,"Registered Nurse","H1000","N/A",160.93,1]
[49,"Registered Nurse","T1007","N/A",160.93,1,true,true,true,true,true,49,"Registered Nurse","T1007","N/A",160.93,1]
[49,"Registered Pharmacist","G0541","N/A",290.79000000000002,1,true,true,true,true,true,49,"Registered Pharmacist","G0541","N/A",290.79000000000002,1]
[49,"Registered Pharmacist","H0049","N/A",189.65,1,true,true,true,true,true,49,"Registered Pharmacist","H0049","N/A",189.65,1]
[49,"Registered Pharmacist","H2021","N/A",189.65,1,true,true,true,true,true,49,"Registered Pharmacist","H2021","N/A",189.65,1]
[50,"Certified AOD Counselor","H0007","N/A",97.08,1,true,true,true,true,true,50,"Certified AOD Counselor","H0007","N/A",97.08,1]
[50,"Community Health Worker",98960,"N/A",180.5,1,true,true,true,true,true,50,"Community Health Worker",98960,"N/A",180.5,1]
[50,"Community Health Worker","G0022","N/A",180.5,1,true,true,true,true,true,50,"Community Health Worker","G0022","N/A",180.5,1]
[50,"LCSW (Licensed, Waivered or Registered)",96202,"N/A",104.03,1,true,true,true,true,true,50,"LCSW (Licensed, Waivered or Registered)",96202,"N/A",104.03,1]
[50,"LCSW (Licensed, Waivered or Registered)","G2011","N/A",78.02,1,true,true,true,true,true,50,"LCSW (Licensed, Waivered or Registered)","G2011","N/A",78.02,1]
[50,"LCSW (Licensed, Waivered or Registered)","H2017","HQ",26.01,1,true,true,true,true,true,50,"LCSW (Licensed, Waivered or Registered)","H2017","HQ",26.01,1]
[50,"LCSW (Licensed, Waivered or Registered)","T1013","N/A",31.88,1,true,true,true,true,true,50,"LCSW (Licensed, Waivered or Registered)","T1013","N/A",31.88,1]
[50,"Licensed Physician",90887,"N/A",1498.94,1,true,true,true,true,true,50,"Licensed Physician",90887,"N/A",1498.94,1]
[50,"Licensed Physician",99203,"N/A",1109.22,1,true,true,true,true,true,50,"Licensed Physician",99203,"N/A",1109.22,1]
[50,"Licensed Physician",99213,"N/A",749.47,1,true,true,true,true,true,50,"Licensed Physician",99213,"N/A",749.47,1]
[50,"Licensed Physician",99309,"N/A",1109.22,1,true,true,true,true,true,50,"Licensed Physician",99309,"N/A",1109.22,1]
[50,"Licensed Physician",99424,"N/A",899.37,1,{"$f":"EXACT(A21891,L21891)","v":true},{"$f":"EXACT(B21891,M21891)","v":true},{"$f":"EXACT(C21891,N21891)","v":true},{"$f":"EXACT(D21891,O21891)","v":true},{"$f":"EXACT(E21891,P21891)","v":true},50,"Licensed Physician",99424,"N/A",899.37,1]
[50,"Licensed Physician","G0396","N/A",689.51,1,true,true,true,true,true,50,"Licensed Physician","G0396","N/A",689.51,1]
[50,"Licensed Physician","G0543","N/A",299.79000000000002,1,true,true,true,true,true,50,"Licensed Physician","G0543","N/A",299.79000000000002,1]
[50,"Licensed Physician","H2014","HQ",99.93,1,true,true,true,true,true,50,"Licensed Physician","H2014","HQ",99.93,1]
[50,"Licensed Physician","T1017","N/A",449.68,1,true,true,true,true,true,50,"Licensed Physician","T1017","N/A",449.68,1]
[50,"Licensed Psychiatric Technician",90889,"N/A",82.26,1,true,true,true,true,true,50,"Licensed Psychiatric Technician",90889,"N/A",82.26,1]
[50,"Licensed Psychiatric Technician","G0397","N/A",329.04,1,true,true,true,true,true,50,"Licensed Psychiatric Technician","G0397","N/A",329.04,1]
[50,"Licensed Psychiatric Technician","H1000","N/A",82.26,1,true,true,true,true,true,50,"Licensed Psychiatric Technician","H1000","N/A",82.26,1]
[50,"Licensed Psychiatric Technician","H2021","N/A",82.26,1,true,true,true,true,true,50,"Licensed Psychiatric Technician","H2021","N/A",82.26,1]
[50,"Licensed Vocational Nurse","G0396","N/A",147.13,1,true,true,true,true,true,50,"Licensed Vocational Nurse","G0396","N/A",147.13,1]
[50,"Licensed Vocational Nurse","H0008","N/A",95.95,1,true,true,true,true,true,50,"Licensed Vocational Nurse","H0008","N/A",95.95,1]
[50,"Licensed Vocational Nurse","H2014","HQ",21.32,1,true,true,true,true,true,50,"Licensed Vocational Nurse","H2014","HQ",21.32,1]
[50,"Licensed Vocational Nurse","T1007","N/A",95.95,1,true,true,true,true,true,50,"Licensed Vocational Nurse","T1007","N/A",95.95,1]
[50,"Medical Assistant","H2014","HQ",14.66,1,true,true,true,true,true,50,"Medical Assistant","H2014","HQ",14.66,1]
[50,"Medical Assistant","T1013","N/A",31.88,1,true,true,true,true,true,50,"Medical Assistant","T1013","N/A",31.88,1]
[50,"MFT/LPCC (Licensed, Waivered or Registered)",96160,"N/A",117.03,1,true,true,true,true,true,50,"MFT/LPCC (Licensed, Waivered or Registered)",96160,"N/A",117.03,1]
[50,"MFT/LPCC (Licensed, Waivered or Registered)","H0004","N/A",117.03,1,true,true,true,true,true,50,"MFT/LPCC (Licensed, Waivered or Registered)","H0004","N/A",117.03,1]
[50,"MFT/LPCC (Licensed, Waivered or Registered)","H2014","HQ",26.01,1,{"$f":"EXACT(A22083,L22083)","v":true},{"$f":"EXACT(B22083,M22083)","v":true},{"$f":"EXACT(C22083,N22083)","v":true},{"$f":"EXACT(D22083,O22083)","v":true},{"$f":"EXACT(E22083,P22083)","v":true},50,"MFT/LPCC (Licensed, Waivered or Registered)","H2014","HQ",26.01,1]
[50,"MFT/LPCC (Licensed, Waivered or Registered)","H2035","N/A",468.13,{"$f":"IF(C22089=\"G0323\",9,1)","v":1},true,true,true,true,true,50,"MFT/LPCC (Licensed, Waivered or Registered)","H2035","N/A",468.13,{"$f":"IF(OR(N22089=\"H0036\",N22089=\"G0323\"),9,1)","v":1}]
[50,"Nurse Practitioner",90882,"N/A",223.62,1,true,true,true,true,true,50,"Nurse Practitioner",90882,"N/A",223.62,1]
[50,"Nurse Practitioner",97551,"N/A",223.62,1,true,true,true,true,true,50,"Nurse Practitioner",97551,"N/A",223.62,1]
[50,"Nurse Practitioner",99212,"N/A",223.62,1,true,true,true,true,true,50,"Nurse Practitioner",99212,"N/A",223.62,1]
[50,"Nurse Practitioner",99310,"N/A",775.2,1,true,true,true,true,true,50,"Nurse Practitioner",99310,"N/A",775.2,1]
[50,"Nurse Practitioner",99408,"N/A",342.88,1,true,true,true,true,true,50,"Nurse Practitioner",99408,"N/A",342.88,1]
[50,"Nurse Practitioner","G0396","N/A",342.88,1,true,true,true,true,true,50,"Nurse Practitioner","G0396","N/A",342.88,1]
[50,"Nurse Practitioner","H0007","N/A",223.62,1,true,true,true,true,true,50,"Nurse Practitioner","H0007","N/A",223.62,1]
[50,"Nurse Practitioner","H1000","N/A",223.62,1,true,true,true,true,true,50,"Nurse Practitioner","H1000","N/A",223.62,1]
[50,"Nurse Practitioner","H2017","N/A",223.62,1,true,true,true,true,true,50,"Nurse Practitioner","H2017","N/A",223.62,1]
[50,"Occupational Therapist",96203,"N/A",34.619999999999997,1,true,true,true,true,true,50,"Occupational Therapist",96203,"N/A",34.619999999999997,1]
[50,"Occupational Therapist","G0539","N/A",238.87,{"$f":"IF(C22217=\"G0323\",9,1)","v":1},true,true,true,true,true,50,"Occupational Therapist","G0539","N/A",238.87,{"$f":"IF(OR(N22217=\"H0036\",N22217=\"G0323\"),9,1)","v":1}]
[50,"Occupational Therapist","H0033","N/A",155.79,1,true,true,true,true,true,50,"Occupational Therapist","H0033","N/A",155.79,1]
[50,"Occupational Therapist","T2024","N/A",155.79,1,true,true,true,true,true,50,"Occupational Therapist","T2024","N/A",155.79,1]
[50,"Other Qualified Practitioner","H2027","N/A",88.05,1,true,true,true,true,true,50,"Other Qualified Practitioner","H2027","N/A",88.05,1]
[50,"Physician Assistant",90792,"N/A",806.72,1,true,true,true,true,true,50,"Physician Assistant",90792,"N/A",806.72,1]
[50,"Physician Assistant",96203,"N/A",44.82,1,true,true,true,true,true,50,"Physician Assistant",96203,"N/A",44.82,1]
[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",99239,"N/A",806.72,1,true,true,true,true,true,50,"Physician Assistant",99239,"N/A",806.72,1]
[50,"Physician Assistant",99344,"N/A",900.84,1,true,true,true,true,true,50,"Physician Assistant",99344,"N/A",900.84,1]
[50,"Physician Assistant",99443,"N/A",349.58,1,true,true,true,true,true,50,"Physician Assistant",99443,"N/A",349.58,1]
[50,"Physician Assistant",99496,"N/A",1008.4,1,true,true,true,true,true,50,"Physician Assistant",99496,"N/A",1008.4,1]
[50,"Physician Assistant","H0049","N/A",201.68,1,true,true,true,true,true,50,"Physician Assistant","H0049","N/A",201.68,1]
[50,"Physician Assistant","H2035","N/A",806.72,1,true,true,true,true,true,50,"Physician Assistant","H2035","N/A",806.72,1]
[50,"Psychologist (Licensed or Waivered)",90791,"N/A",723.39,1,true,true,true,true,true,50,"Psychologist (Licensed or Waivered)",90791,"N/A",723.39,1]
[50,"Psychologist (Licensed or Waivered)",96203,"N/A",40.19,1,true,true,true,true,true,50,"Psychologist (Licensed or Waivered)",96203,"N/A",40.19,1]
[50,"Psychologist (Licensed or Waivered)",99368,"N/A",723.39,1,true,true,true,true,true,50,"Psychologist (Licensed or Waivered)",99368,"N/A",723.39,1]
[50,"Psychologist (Licensed or Waivered)","H0003","N/A",180.85,1,true,true,true,true,true,50,"Psychologist (Licensed or Waivered)","H0003","N/A",180.85,1]
[50,"Psychologist (Licensed or Waivered)","H2035","N/A",723.39,1,true,true,true,true,true,50,"Psychologist (Licensed or Waivered)","H2035","N/A",723.39,1]
[50,"Registered Nurse",90785,"N/A",18.89,1,true,true,true,true,true,50,"Registered Nurse",90785,"N/A",18.89,1]
[50,"Registered Nurse",99424,"N/A",365.31,1,true,true,true,true,true,50,"Registered Nurse",99424,"N/A",365.31,1]
[50,"Registered Nurse","H0009","N/A",182.66,1,true,true,true,true,true,50,"Registered Nurse","H0009","N/A",182.66,1]
[50,"Registered Nurse","H2015","N/A",182.66,1,true,true,true,true,true,50,"Registered Nurse","H2015","N/A",182.66,1]
[50,"Registered Pharmacist",96203,"N/A",47.83,{"$f":"IF(C22473=\"G0323\",9,1)","v":1},true,true,true,true,true,50,"Registered Pharmacist",96203,"N/A",47.83,{"$f":"IF(OR(N22473=\"H0036\",N22473=\"G0323\"),9,1)","v":1}]
[50,"Registered Pharmacist","G0541","N/A",330.05,1,true,true,true,true,true,50,"Registered Pharmacist","G0541","N/A",330.05,1]
[50,"Registered Pharmacist","H2017","N/A",215.25,1,true,true,true,true,true,50,"Registered Pharmacist","H2017","N/A",215.25,1]
[54,"Certified AOD Counselor",90785,"N/A",18.89,1,true,true,true,true,true,54,"Certified AOD Counselor",90785,"N/A",18.89,1]
[54,"Certified AOD Counselor","H1000","N/A",108.94,1,true,true,true,true,true,54,"Certified AOD Counselor","H1000","N/A",108.94,1]
[54,"Community Health Worker","G0019","N/A",313.38,1,{"$f":"EXACT(A22531,L22531)","v":true},{"$f":"EXACT(B22531,M22531)","v":true},{"$f":"EXACT(C22531,N22531)","v":true},{"$f":"EXACT(D22531,O22531)","v":true},{"$f":"EXACT(E22531,P22531)","v":true},54,"Community Health Worker","G0019","N/A",313.38,1]
[54,"LCSW (Licensed, Waivered or Registered)",96171,"N/A",137.91,1,true,true,true,true,true,54,"LCSW (Licensed, Waivered or Registered)",96171,"N/A",137.91,1]
[54,"LCSW (Licensed, Waivered or Registered)",97551,"N/A",137.91,1,true,true,true,true,true,54,"LCSW (Licensed, Waivered or Registered)",97551,"N/A",137.91,1]
[54,"LCSW (Licensed, Waivered or Registered)","H0007","N/A",137.91,1,true,true,true,true,true,54,"LCSW (Licensed, Waivered or Registered)","H0007","N/A",137.91,1]
[54,"LCSW (Licensed, Waivered or Registered)","H2035","N/A",551.62,1,true,true,true,true,true,54,"LCSW (Licensed, Waivered or Registered)","H2035","N/A",551.62,1]
[54,"LCSW (Licensed, Waivered or Registered)","T2021","HQ",30.65,1,true,true,true,true,true,54,"LCSW (Licensed, Waivered or Registered)","T2021","HQ",30.65,1]
[54,"Licensed Physician",90887,"N/A",1327.3,1,true,true,true,true,true,54,"Licensed Physician",90887,"N/A",1327.3,1]
[54,"Licensed Physician",99212,"N/A",398.19,1,true,true,true,true,true,54,"Licensed Physician",99212,"N/A",398.19,1]
[54,"Licensed Physician",99308,"N/A",663.65,1,true,true,true,true,true,54,"Licensed Physician",99308,"N/A",663.65,1]
[54,"Licensed Physician",99342,"N/A",1194.57,1,true,true,true,true,true,54,"Licensed Physician",99342,"N/A",1194.57,1]
[54,"Licensed Physician",99441,"N/A",212.37,1,true,true,true,true,true,54,"Licensed Physician",99441,"N/A",212.37,1]
[54,"Licensed Physician","G0541","N/A",610.55999999999995,1,true,true,true,true,true,54,"Licensed Physician","G0541","N/A",610.55999999999995,1]
[54,"Licensed Physician","H0003","N/A",398.19,1,true,true,true,true,true,54,"Licensed Physician","H0003","N/A",398.19,1]
[54,"Licensed Physician","H1000","N/A",398.19,1,true,true,true,true,true,54,"Licensed Physician","H1000","N/A",398.19,1]
[54,"Licensed Physician","T2024","N/A",398.19,1,true,true,true,true,true,54,"Licensed Physician","T2024","N/A",398.19,1]
[54,"Licensed Psychiatric Technician",96171,"N/A",71.41,1,true,true,true,true,true,54,"Licensed Psychiatric Technician",96171,"N/A",71.41,1]
[54,"Licensed Psychiatric Technician","G0542","N/A",71.41,1,true,true,true,true,true,54,"Licensed Psychiatric Technician","G0542","N/A",71.41,1]
[54,"Licensed Psychiatric Technician","H2015","N/A",71.41,1,{"$f":"EXACT(A22723,L22723)","v":true},{"$f":"EXACT(B22723,M22723)","v":true},{"$f":"EXACT(C22723,N22723)","v":true},{"$f":"EXACT(D22723,O22723)","v":true},{"$f":"EXACT(E22723,P22723)","v":true},54,"Licensed Psychiatric Technician","H2015","N/A",71.41,1]
[54,"Licensed Psychiatric Technician","T1007","N/A",71.41,{"$f":"IF(C22729=\"G0323\",9,1)","v":1},true,true,true,true,true,54,"Licensed Psychiatric Technician","T1007","N/A",71.41,{"$f":"IF(OR(N22729=\"H0036\",N22729=\"G0323\"),9,1)","v":1}]
[54,"Licensed Vocational Nurse","G0541","N/A",127.72,1,true,true,true,true,true,54,"Licensed Vocational Nurse","G0541","N/A",127.72,1]
[54,"Licensed Vocational Nurse","H0034","N/A",83.3,1,true,true,true,true,true,54,"Licensed Vocational Nurse","H0034","N/A",83.3,1]
[54,"Licensed Vocational Nurse","H2014","HQ",18.510000000000002,1,true,true,true,true,true,54,"Licensed Vocational Nurse","H2014","HQ",18.510000000000002,1]
[54,"Medical Assistant",90785,"N/A",18.32,1,true,true,true,true,true,54,"Medical Assistant",90785,"N/A",18.32,1]
[54,"Medical Assistant","H2021","N/A",77.73,1,true,true,true,true,true,54,"Medical Assistant","H2021","N/A",77.73,1]
[54,"MFT/LPCC (Licensed, Waivered or Registered)",90791,"N/A",551.62,1,true,true,true,true,true,54,"MFT/LPCC (Licensed, Waivered or Registered)",90791,"N/A",551.62,1]
[54,"MFT/LPCC (Licensed, Waivered or Registered)",96202,"N/A",122.58,1,true,true,true,true,true,54,"MFT/LPCC (Licensed, Waivered or Registered)",96202,"N/A",122.58,1]
[54,"MFT/LPCC (Licensed, Waivered or Registered)","H0004","N/A",137.91,1,true,true,true,true,true,54,"MFT/LPCC (Licensed, Waivered or Registered)","H0004","N/A",137.91,1]
[54,"MFT/LPCC (Licensed, Waivered or Registered)","H2017","HQ",30.65,1,true,true,true,true,true,54,"MFT/LPCC (Licensed, Waivered or Registered)","H2017","HQ",30.65,1]
[54,"MFT/LPCC (Licensed, Waivered or Registered)","T1013","N/A",31.88,1,true,true,true,true,true,54,"MFT/LPCC (Licensed, Waivered or Registered)","T1013","N/A",31.88,1]
[54,"Nurse Practitioner",90882,"N/A",263.5,1,true,true,true,true,true,54,"Nurse Practitioner",90882,"N/A",263.5,1]
[54,"Nurse Practitioner",98967,"N/A",281.07,1,true,true,true,true,true,54,"Nurse Practitioner",98967,"N/A",281.07,1]
[54,"Nurse Practitioner",99212,"N/A",263.5,1,true,true,true,true,true,54,"Nurse Practitioner",99212,"N/A",263.5,1]
[54,"Nurse Practitioner",99306,"N/A",1001.3,1,true,true,true,true,true,54,"Nurse Practitioner",99306,"N/A",1001.3,1]
[54,"Nurse Practitioner",99416,"N/A",527,1,true,true,true,true,true,54,"Nurse Practitioner",99416,"N/A",527,1]
[54,"Nurse Practitioner","G0396","N/A",404.03,1,true,true,true,true,true,54,"Nurse Practitioner","G0396","N/A",404.03,1]
[54,"Nurse Practitioner","G0541","N/A",404.03,{"$f":"IF(C22921=\"G0323\",9,1)","v":1},true,true,true,true,true,54,"Nurse Practitioner","G0541","N/A",404.03,{"$f":"IF(OR(N22921=\"H0036\",N22921=\"G0323\"),9,1)","v":1}]
[54,"Nurse Practitioner","H1000","N/A",263.5,1,true,true,true,true,true,54,"Nurse Practitioner","H1000","N/A",263.5,1]
[54,"Nurse Practitioner","T1013","N/A",31.88,1,true,true,true,true,true,54,"Nurse Practitioner","T1013","N/A",31.88,1]
[54,"Occupational Therapist",90785,"N/A",18.89,1,true,true,true,true,true,54,"Occupational Therapist",90785,"N/A",18.89,1]
[54,"Occupational Therapist","G0539","N/A",207.36,1,true,true,true,true,true,54,"Occupational Therapist","G0539","N/A",207.36,1]
[54,"Occupational Therapist","H2021","N/A",135.24,1,true,true,true,true,true,54,"Occupational Therapist","H2021","N/A",135.24,1]
[54,"Other Qualified Practitioner","H2015","N/A",76.430000000000007,1,true,true,true,true,true,54,"Other Qualified Practitioner","H2015","N/A",76.430000000000007,1]
[54,"Other Qualified Practitioner","T1017","N/A",76.430000000000007,1,true,true,true,true,true,54,"Other Qualified Practitioner","T1017","N/A",76.430000000000007,1]
[54,"Physician Assistant",90849,"N/A",295.74,1,true,true,true,true,true,54,"Physician Assistant",90849,"N/A",295.74,1]
[54,"Physician Assistant",96203,"N/A",52.81,1,true,true,true,true,true,54,"Physician Assistant",96203,"N/A",52.81,1]
[54,"Physician Assistant",99235,"N/A",1219.94,1,true,true,true,true,true,54,"Physician Assistant",99235,"N/A",1219.94,1]
[54,"Physician Assistant",99305,"N/A",665.42,1,true,true,true,true,true,54,"Physician Assistant",99305,"N/A",665.42,1]
[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",99496,"N/A",1188.25,1,true,true,true,true,true,54,"Physician Assistant",99496,"N/A",1188.25,1]
[54,"Physician Assistant","H0004","N/A",237.65,1,true,true,true,true,true,54,"Physician Assistant","H0004","N/A",237.65,1]
[54,"Physician Assistant","H0033","N/A",237.65,1,true,true,true,true,true,54,"Physician Assistant","H0033","N/A",237.65,1]
[54,"Physician Assistant","T1007","N/A",237.65,1,true,true,true,true,true,54,"Physician Assistant","T1007","N/A",237.65,1]
[54,"Psychologist (Licensed or Waivered)",90791,"N/A",852.41,1,true,true,true,true,true,54,"Psychologist (Licensed or Waivered)",90791,"N/A",852.41,1]
[54,"Psychologist (Licensed or Waivered)",96160,"N/A",213.1,1,true,true,true,true,true,54,"Psychologist (Licensed or Waivered)",96160,"N/A",213.1,1]
[54,"Psychologist (Licensed or Waivered)",99368,"N/A",852.41,1,true,true,true,true,true,54,"Psychologist (Licensed or Waivered)",99368,"N/A",852.41,1]
[54,"Psychologist (Licensed or Waivered)","H0007","N/A",213.1,1,true,true,true,true,true,54,"Psychologist (Licensed or Waivered)","H0007","N/A",213.1,1]
[54,"Psychologist (Licensed or Waivered)","T1013","N/A",31.88,1,true,true,true,true,true,54,"Psychologist (Licensed or Waivered)","T1013","N/A",31.88,1]
[54,"Registered Nurse",99238,"N/A",430.47,1,true,true,true,true,true,54,"Registered Nurse",99238,"N/A",430.47,1]
[54,"Registered Nurse","G0540","N/A",215.23,1,true,true,true,true,true,54,"Registered Nurse","G0540","N/A",215.23,1]
[54,"Registered Nurse","H0009","N/A",215.23,1,true,true,true,true,true,54,"Registered Nurse","H0009","N/A",215.23,1]
[54,"Registered Nurse","T1007","N/A",215.23,1,true,true,true,true,true,54,"Registered Nurse","T1007","N/A",215.23,1]
[54,"Registered Pharmacist",97552,"N/A",169.1,1,true,true,true,true,true,54,"Registered Pharmacist",97552,"N/A",169.1,1]
[54,"Registered Pharmacist","G0541","N/A",388.92,1,true,true,true,true,true,54,"Registered Pharmacist","G0541","N/A",388.92,1]
[54,"Registered Pharmacist","H2035","N/A",1014.58,1,true,true,true,true,true,54,"Registered Pharmacist","H2035","N/A",1014.58,1]
[56,"Certified AOD Counselor",90785,"N/A",18.89,1,true,true,true,true,true,56,"Certified AOD Counselor",90785,"N/A",18.89,1]
[56,"Certified AOD Counselor","H2015","N/A",78.16,1,true,true,true,true,true,56,"Certified AOD Counselor","H2015","N/A",78.16,1]
[56,"Certified AOD Counselor","T2024","N/A",78.16,1,true,true,true,true,true,56,"Certified AOD Counselor","T2024","N/A",78.16,1]
[56,"LCSW (Licensed, Waivered or Registered)",96171,"N/A",94.23,1,true,true,true,true,true,56,"LCSW (Licensed, Waivered or Registered)",96171,"N/A",94.23,1]
[56,"LCSW (Licensed, Waivered or Registered)",98967,"N/A",100.51,1,true,true,true,true,true,56,"LCSW (Licensed, Waivered or Registered)",98967,"N/A",100.51,1]
[56,"LCSW (Licensed, Waivered or Registered)","H0007","N/A",94.23,1,true,true,true,true,true,56,"LCSW (Licensed, Waivered or Registered)","H0007","N/A",94.23,1]
[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",90847,"N/A",1206.8599999999999,1,true,true,true,true,true,56,"Licensed Physician",90847,"N/A",1206.8599999999999,1]
[56,"Licensed Physician",90887,"N/A",1206.8599999999999,1,true,true,true,true,true,56,"Licensed Physician",90887,"N/A",1206.8599999999999,1]
[56,"Licensed Physician",99215,"N/A",1134.45,1,{"$f":"EXACT(A23363,L23363)","v":true},{"$f":"EXACT(B23363,M23363)","v":true},{"$f":"EXACT(C23363,N23363)","v":true},{"$f":"EXACT(D23363,O23363)","v":true},{"$f":"EXACT(E23363,P23363)","v":true},56,"Licensed Physician",99215,"N/A",1134.45,1]
[56,"Licensed Physician",99235,"N/A",1858.56,1,true,true,true,true,true,56,"Licensed Physician",99235,"N/A",1858.56,1]
[56,"Licensed Physician",99347,"N/A",603.42999999999995,1,true,true,true,true,true,56,"Licensed Physician",99347,"N/A",603.42999999999995,1]
[56,"Licensed Physician",99451,"N/A",434.47,1,true,true,true,true,true,56,"Licensed Physician",99451,"N/A",434.47,1]
[56,"Licensed Physician","G0541","N/A",555.15,1,true,true,true,true,true,56,"Licensed Physician","G0541","N/A",555.15,1]
[56,"Licensed Physician","H0007","N/A",362.06,1,true,true,true,true,true,56,"Licensed Physician","H0007","N/A",362.06,1]
[56,"Licensed Physician","H2017","N/A",362.06,1,{"$f":"EXACT(A23427,L23427)","v":true},{"$f":"EXACT(B23427,M23427)","v":true},{"$f":"EXACT(C23427,N23427)","v":true},{"$f":"EXACT(D23427,O23427)","v":true},{"$f":"EXACT(E23427,P23427)","v":true},56,"Licensed Physician","H2017","N/A",362.06,1]
[56,"Licensed Psychiatric Technician",90889,"N/A",66.23,1,true,true,true,true,true,56,"Licensed Psychiatric Technician",90889,"N/A",66.23,1]
[56,"Licensed Psychiatric Technician",97550,"N/A",101.55,1,true,true,true,true,true,56,"Licensed Psychiatric Technician",97550,"N/A",101.55,1]
[56,"Licensed Psychiatric Technician","G0542","N/A",66.23,1,true,true,true,true,true,56,"Licensed Psychiatric Technician","G0542","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",96203,"N/A",17.170000000000002,1,true,true,true,true,true,56,"Licensed Vocational Nurse",96203,"N/A",17.170000000000002,1]
[56,"Licensed Vocational Nurse","G0396","N/A",118.46,1,true,true,true,true,true,56,"Licensed Vocational Nurse","G0396","N/A",118.46,1]
[56,"Licensed Vocational Nurse","H0049","N/A",77.260000000000005,1,true,true,true,true,true,56,"Licensed Vocational Nurse","H0049","N/A",77.260000000000005,1]
[56,"Licensed Vocational Nurse","H2021","N/A",77.260000000000005,1,true,true,true,true,true,56,"Licensed Vocational Nurse","H2021","N/A",77.260000000000005,1]
[56,"Medical Assistant",96170,"N/A",106.22,1,true,true,true,true,true,56,"Medical Assistant",96170,"N/A",106.22,1]
[56,"Medical Assistant","T1017","N/A",53.11,1,true,true,true,true,true,56,"Medical Assistant","T1017","N/A",53.11,1]
[56,"MFT/LPCC (Licensed, Waivered or Registered)",90791,"N/A",376.91,1,true,true,true,true,true,56,"MFT/LPCC (Licensed, Waivered or Registered)",90791,"N/A",376.91,1]
[56,"MFT/LPCC (Licensed, Waivered or Registered)",97551,"N/A",94.23,{"$f":"IF(C23561=\"G0323\",9,1)","v":1},true,true,true,true,true,56,"MFT/LPCC (Licensed, Waivered or Registered)",97551,"N/A",94.23,{"$f":"IF(OR(N23561=\"H0036\",N23561=\"G0323\"),9,1)","v":1}]
[56,"MFT/LPCC (Licensed, Waivered or Registered)","H0050","N/A",94.23,1,true,true,true,true,true,56,"MFT/LPCC (Licensed, Waivered or Registered)","H0050","N/A",94.23,1]
[56,"MFT/LPCC (Licensed, Waivered or Registered)","H2035","N/A",376.91,1,true,true,true,true,true,56,"MFT/LPCC (Licensed, Waivered or Registered)","H2035","N/A",376.91,1]
[56,"MFT/LPCC (Licensed, Waivered or Registered)","T2021","HQ",20.94,1,true,true,true,true,true,56,"MFT/LPCC (Licensed, Waivered or Registered)","T2021","HQ",20.94,1]
[56,"Nurse Practitioner",96130,"N/A",720.17,1,true,true,true,true,true,56,"Nurse Practitioner",96130,"N/A",720.17,1]
[56,"Nurse Practitioner",99203,"N/A",444.1,1,true,true,true,true,true,56,"Nurse Practitioner",99203,"N/A",444.1,1]
[56,"Nurse Practitioner",99307,"N/A",180.04,1,true,true,true,true,true,56,"Nurse Practitioner",99307,"N/A",180.04,1]
[56,"Nurse Practitioner",99309,"N/A",444.1,1,true,true,true,true,true,56,"Nurse Practitioner",99309,"N/A",444.1,1]
[56,"Nurse Practitioner",99424,"N/A",360.09,1,true,true,true,true,true,56,"Nurse Practitioner",99424,"N/A",360.09,1]
[56,"Nurse Practitioner","G0541","N/A",276.07,1,true,true,true,true,true,56,"Nurse Practitioner","G0541","N/A",276.07,1]
[56,"Nurse Practitioner","G2011","N/A",120.03,1,true,true,true,true,true,56,"Nurse Practitioner","G2011","N/A",120.03,1]
[56,"Nurse Practitioner","H1000","N/A",180.04,1,true,true,true,true,true,56,"Nurse Practitioner","H1000","N/A",180.04,1]
[56,"Nurse Practitioner","T2021","HQ",40.01,1,true,true,true,true,true,56,"Nurse Practitioner","T2021","HQ",40.01,1]
[56,"Occupational Therapist",90889,"N/A",125.43,1,true,true,true,true,true,56,"Occupational Therapist",90889,"N/A",125.43,1]
[56,"Occupational Therapist","G0543","N/A",83.62,1,true,true,true,true,true,56,"Occupational Therapist","G0543","N/A",83.62,1]
[56,"Occupational Therapist","T1013","N/A",31.88,1,true,true,true,true,true,56,"Occupational Therapist","T1013","N/A",31.88,1]
[56,"Other Qualified Practitioner","H2015","N/A",70.89,1,true,true,true,true,true,56,"Other Qualified Practitioner","H2015","N/A",70.89,1]
[56,"Other Qualified Practitioner","H2021","N/A",70.89,{"$f":"IF(C23753=\"G0323\",9,1)","v":1},true,true,true,true,true,56,"Other Qualified Practitioner","H2021","N/A",70.89,{"$f":"IF(OR(N23753=\"H0036\",N23753=\"G0323\"),9,1)","v":1}]
[56,"Physician Assistant",90885,"N/A",649.52,1,true,true,true,true,true,56,"Physician Assistant",90885,"N/A",649.52,1]
[56,"Physician Assistant",96203,"N/A",36.08,1,true,true,true,true,true,56,"Physician Assistant",96203,"N/A",36.08,1]
[56,"Physician Assistant",99203,"N/A",400.54,1,true,true,true,true,true,56,"Physician Assistant",99203,"N/A",400.54,1]
[56,"Physician Assistant",99305,"N/A",454.66,1,true,true,true,true,true,56,"Physician Assistant",99305,"N/A",454.66,1]
[56,"Physician Assistant",99408,"N/A",248.98,1,true,true,true,true,true,56,"Physician Assistant",99408,"N/A",248.98,1]
[56,"Physician Assistant",99424,"N/A",324.76,1,true,true,true,true,true,56,"Physician Assistant",99424,"N/A",324.76,1]
[56,"Physician Assistant","H0004","N/A",162.38,1,true,true,true,true,true,56,"Physician Assistant","H0004","N/A",162.38,1]
[56,"Physician Assistant","H0048","N/A",162.38,1,true,true,true,true,true,56,"Physician Assistant","H0048","N/A",162.38,1]
[56,"Physician Assistant","T1007","N/A",162.38,1,true,true,true,true,true,56,"Physician Assistant","T1007","N/A",162.38,1]
[56,"Psychologist (Licensed or Waivered)",90849,"N/A",181.2,1,true,true,true,true,true,56,"Psychologist (Licensed or Waivered)",90849,"N/A",181.2,1]
[56,"Psychologist (Licensed or Waivered)",96202,"N/A",129.43,1,true,true,true,true,true,56,"Psychologist (Licensed or Waivered)",96202,"N/A",129.43,1]
[56,"Psychologist (Licensed or Waivered)",99368,"N/A",582.42999999999995,1,true,true,true,true,true,56,"Psychologist (Licensed or Waivered)",99368,"N/A",582.42999999999995,1]
[56,"Psychologist (Licensed or Waivered)","H2035","N/A",582.42999999999995,1,true,true,true,true,true,56,"Psychologist (Licensed or Waivered)","H2035","N/A",582.42999999999995,1]
[56,"Psychologist (Licensed or Waivered)","T1006","N/A",145.61000000000001,1,true,true,true,true,true,56,"Psychologist (Licensed or Waivered)","T1006","N/A",145.61000000000001,1]
[56,"Registered Nurse",96160,"N/A",147.06,1,true,true,true,true,true,56,"Registered Nurse",96160,"N/A",147.06,1]
[56,"Registered Nurse","G0543","N/A",98.04,{"$f":"IF(C23945=\"G0323\",9,1)","v":1},true,true,true,true,true,56,"Registered Nurse","G0543","N/A",98.04,{"$f":"IF(OR(N23945=\"H0036\",N23945=\"G0323\"),9,1)","v":1}]
[56,"Registered Nurse","H0009","N/A",147.06,1,true,true,true,true,true,56,"Registered Nurse","H0009","N/A",147.06,1]
[56,"Registered Nurse","H2014","HQ",32.68,1,true,true,true,true,true,56,"Registered Nurse","H2014","HQ",32.68,1]
[56,"Registered Pharmacist","G0397","N/A",693.23,1,true,true,true,true,true,56,"Registered Pharmacist","G0397","N/A",693.23,1]
[56,"Registered Pharmacist","G0541","N/A",265.74,1,true,true,true,true,true,56,"Registered Pharmacist","G0541","N/A",265.74,1]
[56,"Registered Pharmacist","H1000","N/A",173.31,1,true,true,true,true,true,56,"Registered Pharmacist","H1000","N/A",173.31,1]
[57,"Certified AOD Counselor",90785,"N/A",18.89,1,{"$f":"EXACT(A24003,L24003)","v":true},{"$f":"EXACT(B24003,M24003)","v":true},{"$f":"EXACT(C24003,N24003)","v":true},{"$f":"EXACT(D24003,O24003)","v":true},{"$f":"EXACT(E24003,P24003)","v":true},57,"Certified AOD Counselor",90785,"N/A",18.89,1]
[57,"Certified AOD Counselor","H2021","N/A",98.73,1,true,true,true,true,true,57,"Certified AOD Counselor","H2021","N/A",98.73,1]
[57,"Community Health Worker",98962,"N/A",28.24,1,true,true,true,true,true,57,"Community Health Worker",98962,"N/A",28.24,1]
[57,"LCSW (Licensed, Waivered or Registered)",96171,"N/A",119.02,1,true,true,true,true,true,57,"LCSW (Licensed, Waivered or Registered)",96171,"N/A",119.02,1]
[57,"LCSW (Licensed, Waivered or Registered)","G0541","N/A",182.5,1,true,true,true,true,true,57,"LCSW (Licensed, Waivered or Registered)","G0541","N/A",182.5,1]
[57,"LCSW (Licensed, Waivered or Registered)","H0007","N/A",119.02,1,true,true,true,true,true,57,"LCSW (Licensed, Waivered or Registered)","H0007","N/A",119.02,1]
[57,"LCSW (Licensed, Waivered or Registered)","T2021","HQ",26.45,1,true,true,true,true,true,57,"LCSW (Licensed, Waivered or Registered)","T2021","HQ",26.45,1]
[57,"Licensed Physician",90882,"N/A",457.33,1,true,true,true,true,true,57,"Licensed Physician",90882,"N/A",457.33,1]
[57,"Licensed Physician",90887,"N/A",1524.42,1,true,true,true,true,true,57,"Licensed Physician",90887,"N/A",1524.42,1]
[57,"Licensed Physician",99205,"N/A",2042.72,1,true,true,true,true,true,57,"Licensed Physician",99205,"N/A",2042.72,1]
[57,"Licensed Physician",99342,"N/A",1371.98,1,true,true,true,true,true,57,"Licensed Physician",99342,"N/A",1371.98,1]
[57,"Licensed Physician",99350,"N/A",2042.72,1,true,true,true,true,true,57,"Licensed Physician",99350,"N/A",2042.72,1]
[57,"Licensed Physician",99437,"N/A",914.65,1,true,true,true,true,true,57,"Licensed Physician",99437,"N/A",914.65,1]
[57,"Licensed Physician","G0541","N/A",701.23,1,true,true,true,true,true,57,"Licensed Physician","G0541","N/A",701.23,1]
[57,"Licensed Physician","H0033","N/A",457.33,1,true,true,true,true,true,57,"Licensed Physician","H0033","N/A",457.33,1]
[57,"Licensed Physician","H2017","N/A",457.33,1,true,true,true,true,true,57,"Licensed Physician","H2017","N/A",457.33,1]
[57,"Licensed Psychiatric Technician",96171,"N/A",83.66,1,{"$f":"EXACT(A24195,L24195)","v":true},{"$f":"EXACT(B24195,M24195)","v":true},{"$f":"EXACT(C24195,N24195)","v":true},{"$f":"EXACT(D24195,O24195)","v":true},{"$f":"EXACT(E24195,P24195)","v":true},57,"Licensed Psychiatric Technician",96171,"N/A",83.66,1]
[57,"Licensed Psychiatric Technician","G0541","N/A",128.27000000000001,1,true,true,true,true,true,57,"Licensed Psychiatric Technician","G0541","N/A",128.27000000000001,1]
[57,"Licensed Psychiatric Technician","H0049","N/A",83.66,1,true,true,true,true,true,57,"Licensed Psychiatric Technician","H0049","N/A",83.66,1]
[57,"Licensed Psychiatric Technician","T1007","N/A",83.66,1,true,true,true,true,true,57,"Licensed Psychiatric Technician","T1007","N/A",83.66,1]
[57,"Licensed Vocational Nurse",96203,"N/A",21.69,1,true,true,true,true,true,57,"Licensed Vocational Nurse",96203,"N/A",21.69,1]
[57,"Licensed Vocational Nurse","G0540","N/A",97.59,1,true,true,true,true,true,57,"Licensed Vocational Nurse","G0540","N/A",97.59,1]
[57,"Licensed Vocational Nurse","H2014","N/A",97.59,1,true,true,true,true,true,57,"Licensed Vocational Nurse","H2014","N/A",97.59,1]
[57,"Licensed Vocational Nurse","H2021","N/A",97.59,1,true,true,true,true,true,57,"Licensed Vocational Nurse","H2021","N/A",97.59,1]
[57,"Medical Assistant","H0001","N/A",67.08,1,true,true,true,true,true,57,"Medical Assistant","H0001","N/A",67.08,1]
[57,"Medical Assistant","H2017","N/A",67.08,1,true,true,true,true,true,57,"Medical Assistant","H2017","N/A",67.08,1]
[57,"MFT/LPCC (Licensed, Waivered or Registered)",96202,"N/A",105.8,1,true,true,true,true,true,57,"MFT/LPCC (Licensed, Waivered or Registered)",96202,"N/A",105.8,1]
[57,"MFT/LPCC (Licensed, Waivered or Registered)",98967,"N/A",126.95,1,true,true,true,true,true,57,"MFT/LPCC (Licensed, Waivered or Registered)",98967,"N/A",126.95,1]
[57,"MFT/LPCC (Licensed, Waivered or Registered)","H0050","N/A",119.02,1,true,true,true,true,true,57,"MFT/LPCC (Licensed, Waivered or Registered)","H0050","N/A",119.02,1]
[57,"MFT/LPCC (Licensed, Waivered or Registered)","T1013","N/A",31.88,1,true,true,true,true,true,57,"MFT/LPCC (Licensed, Waivered or Registered)","T1013","N/A",31.88,1]
[57,"Nurse Practitioner",90846,"N/A",758.05,1,true,true,true,true,true,57,"Nurse Practitioner",90846,"N/A",758.05,1]
[57,"Nurse Practitioner",96130,"N/A",909.66,1,true,true,true,true,true,57,"Nurse Practitioner",96130,"N/A",909.66,1]
[57,"Nurse Practitioner",99212,"N/A",227.42,1,true,true,true,true,true,57,"Nurse Practitioner",99212,"N/A",227.42,1]
[57,"Nurse Practitioner",99234,"N/A",864.18,1,true,true,true,true,true,57,"Nurse Practitioner",99234,"N/A",864.18,1]
[57,"Nurse Practitioner",99342,"N/A",682.25,{"$f":"IF(C24393=\"G0323\",9,1)","v":1},true,true,true,true,true,57,"Nurse Practitioner",99342,"N/A",682.25,{"$f":"IF(OR(N24393=\"H0036\",N24393=\"G0323\"),9,1)","v":1}]
[57,"Nurse Practitioner",99441,"N/A",121.29,1,true,true,true,true,true,57,"Nurse Practitioner",99441,"N/A",121.29,1]
[57,"Nurse Practitioner","G0541","N/A",348.7,1,true,true,true,true,true,57,"Nurse Practitioner","G0541","N/A",348.7,1]
[57,"Nurse Practitioner","H0004","N/A",227.42,1,true,true,true,true,true,57,"Nurse Practitioner","H0004","N/A",227.42,1]
[57,"Nurse Practitioner","H2017","N/A",227.42,1,true,true,true,true,true,57,"Nurse Practitioner","H2017","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",96171,"N/A",158.44,1,true,true,true,true,true,57,"Occupational Therapist",96171,"N/A",158.44,1]
[57,"Occupational Therapist","G0543","N/A",105.62,1,true,true,true,true,true,57,"Occupational Therapist","G0543","N/A",105.62,1]
[57,"Other Qualified Practitioner",90785,"N/A",18.32,1,true,true,true,true,true,57,"Other Qualified Practitioner",90785,"N/A",18.32,1]
[57,"Other Qualified Practitioner","H2027","N/A",89.55,1,true,true,true,true,true,57,"Other Qualified Practitioner","H2027","N/A",89.55,1]
[57,"Other Qualified Practitioner","T1013","N/A",31.88,1,true,true,true,true,true,57,"Other Qualified Practitioner","T1013","N/A",31.88,1]
[57,"Physician Assistant",96130,"N/A",820.43,1,true,true,true,true,true,57,"Physician Assistant",96130,"N/A",820.43,1]
[57,"Physician Assistant",98966,"N/A",109.39,1,true,true,true,true,true,57,"Physician Assistant",98966,"N/A",109.39,1]
[57,"Physician Assistant",99212,"N/A",205.11,1,true,true,true,true,true,57,"Physician Assistant",99212,"N/A",205.11,1]
[57,"Physician Assistant",99305,"N/A",574.29999999999995,1,true,true,true,true,true,57,"Physician Assistant",99305,"N/A",574.29999999999995,1]
[57,"Physician Assistant",99416,"N/A",410.22,1,true,true,true,true,true,57,"Physician Assistant",99416,"N/A",410.22,1]
[57,"Physician Assistant",99441,"N/A",109.39,1,true,true,true,true,true,57,"Physician Assistant",99441,"N/A",109.39,1]
[57,"Physician Assistant","H0009","N/A",205.11,1,true,true,true,true,true,57,"Physician Assistant","H0009","N/A",205.11,1]
[57,"Physician Assistant","H1000","N/A",205.11,1,true,true,true,true,true,57,"Physician Assistant","H1000","N/A",205.11,1]
[57,"Physician Assistant","T1007","N/A",205.11,1,true,true,true,true,true,57,"Physician Assistant","T1007","N/A",205.11,1]
[57,"Psychologist (Licensed or Waivered)",90785,"N/A",18.89,1,true,true,true,true,true,57,"Psychologist (Licensed or Waivered)",90785,"N/A",18.89,1]
[57,"Psychologist (Licensed or Waivered)",97551,"N/A",183.92,1,true,true,true,true,true,57,"Psychologist (Licensed or Waivered)",97551,"N/A",183.92,1]
[57,"Psychologist (Licensed or Waivered)",99368,"N/A",735.68,1,true,true,true,true,true,57,"Psychologist (Licensed or Waivered)",99368,"N/A",735.68,1]
[57,"Psychologist (Licensed or Waivered)","H0005","N/A",40.869999999999997,1,true,true,true,true,true,57,"Psychologist (Licensed or Waivered)","H0005","N/A",40.869999999999997,1]
[57,"Registered Nurse",96160,"N/A",185.76,1,true,true,true,true,true,57,"Registered Nurse",96160,"N/A",185.76,1]
[57,"Registered Nurse",97552,"N/A",123.84,1,true,true,true,true,true,57,"Registered Nurse",97552,"N/A",123.84,1]
[57,"Registered Nurse",99437,"N/A",371.52,1,true,true,true,true,true,57,"Registered Nurse",99437,"N/A",371.52,1]
[57,"Registered Nurse","H0009","N/A",185.76,1,true,true,true,true,true,57,"Registered Nurse","H0009","N/A",185.76,1]
[57,"Registered Nurse","T1006","N/A",185.76,1,true,true,true,true,true,57,"Registered Nurse","T1006","N/A",185.76,1]
[57,"Registered Pharmacist",97550,"N/A",335.66,1,true,true,true,true,true,57,"Registered Pharmacist",97550,"N/A",335.66,1]
[57,"Registered Pharmacist","H0048","N/A",218.91,1,true,true,true,true,true,57,"Registered Pharmacist","H0048","N/A",218.91,1]
[57,"Registered Pharmacist","H2021","N/A",218.91,1,true,true,true,true,true,57,"Registered Pharmacist","H2021","N/A",218.91,1]
[9,"Psychologist (Licensed or Waivered)","G0323","N/A",596.55999999999995,9,true,true,true,true,true,9,"Psychologist (Licensed or Waivered)","G0323","N/A",596.55999999999995,1]
[17,"Psychologist (Licensed or Waivered)","G0323","N/A",916.83,9,true,true,true,true,true,17,"Psychologist (Licensed or Waivered)","G0323","N/A",916.83,1]
[22,"Psychologist (Licensed or Waivered)","G0323","N/A",928.19,9,true,true,true,true,true,22,"Psychologist (Licensed or Waivered)","G0323","N/A",928.19,1]
[27,"LCSW (Licensed, Waivered or Registered)","G0323","N/A",411.89,{"$f":"IF(C24790=\"G0323\",9,1)","v":9},true,true,true,true,true,27,"LCSW (Licensed, Waivered or Registered)","G0323","N/A",411.89,1]
[27,"MFT/LPCC (Licensed, Waivered or Registered)","G0323","N/A",411.89,9,true,true,true,true,true,27,"MFT/LPCC (Licensed, Waivered or Registered)","G0323","N/A",411.89,1]
[27,"Psychologist (Licensed or Waivered)","G0323","N/A",636.49,9,true,true,true,true,true,27,"Psychologist (Licensed or Waivered)","G0323","N/A",636.49,1]
[28,"LCSW (Licensed, Waivered or Registered)","G0323","N/A",509.02,9,true,true,true,true,true,28,"LCSW (Licensed, Waivered or Registered)","G0323","N/A",509.02,1]
[28,"MFT/LPCC (Licensed, Waivered or Registered)","G0323","N/A",509.02,9,true,true,true,true,true,28,"MFT/LPCC (Licensed, Waivered or Registered)","G0323","N/A",509.02,1]
[28,"Psychologist (Licensed or Waivered)","G0323","N/A",786.58,9,true,true,true,true,true,28,"Psychologist (Licensed or Waivered)","G0323","N/A",786.58,1]
[29,"LCSW (Licensed, Waivered or Registered)","G0323","N/A",411.15,9,true,true,true,true,true,29,"LCSW (Licensed, Waivered or Registered)","G0323","N/A",411.15,1]
[29,"MFT/LPCC (Licensed, Waivered or Registered)","G0323","N/A",411.15,9,true,true,true,true,true,29,"MFT/LPCC (Licensed, Waivered or Registered)","G0323","N/A",411.15,1]
[29,"Psychologist (Licensed or Waivered)","G0323","N/A",635.34,9,true,true,true,true,true,29,"Psychologist (Licensed or Waivered)","G0323","N/A",635.34,1]
[30,"LCSW (Licensed, Waivered or Registered)","G0323","N/A",416.91,9,true,true,true,true,true,30,"LCSW (Licensed, Waivered or Registered)","G0323","N/A",416.91,1]
[30,"MFT/LPCC (Licensed, Waivered or Registered)","G0323","N/A",416.91,9,true,true,true,true,true,30,"MFT/LPCC (Licensed, Waivered or Registered)","G0323","N/A",416.91,1]
[30,"Psychologist (Licensed or Waivered)","G0323","N/A",644.24,9,true,true,true,true,true,30,"Psychologist (Licensed or Waivered)","G0323","N/A",644.24,1]
[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]
[31,"MFT/LPCC (Licensed, Waivered or Registered)","G0323","N/A",427.22,9,true,true,true,true,true,31,"MFT/LPCC (Licensed, Waivered or Registered)","G0323","N/A",427.22,1]
[31,"Psychologist (Licensed or Waivered)","G0323","N/A",660.18,9,true,true,true,true,true,31,"Psychologist (Licensed or Waivered)","G0323","N/A",660.18,1]
[33,"LCSW (Licensed, Waivered or Registered)","G0323","N/A",567.59,9,true,true,true,true,true,33,"LCSW (Licensed, Waivered or Registered)","G0323","N/A",567.59,1]
[33,"MFT/LPCC (Licensed, Waivered or Registered)","G0323","N/A",567.59,9,true,true,true,true,true,33,"MFT/LPCC (Licensed, Waivered or Registered)","G0323","N/A",567.59,1]
[33,"Psychologist (Licensed or Waivered)","G0323","N/A",877.1,9,true,true,true,true,true,33,"Psychologist (Licensed or Waivered)","G0323","N/A",877.1,1]
[34,"LCSW (Licensed, Waivered or Registered)","G0323","N/A",417.8,9,true,true,true,true,true,34,"LCSW (Licensed, Waivered or Registered)","G0323","N/A",417.8,1]
[34,"MFT/LPCC (Licensed, Waivered or Registered)","G0323","N/A",417.8,9,true,true,true,true,true,34,"MFT/LPCC (Licensed, Waivered or Registered)","G0323","N/A",417.8,1]
[34,"Psychologist (Licensed or Waivered)","G0323","N/A",645.63,9,true,true,true,true,true,34,"Psychologist (Licensed or Waivered)","G0323","N/A",645.63,1]
[35,"LCSW (Licensed, Waivered or Registered)","G0323","N/A",398.6,9,true,true,true,true,true,35,"LCSW (Licensed, Waivered or Registered)","G0323","N/A",398.6,1]
[35,"MFT/LPCC (Licensed, Waivered or Registered)","G0323","N/A",398.6,9,true,true,true,true,true,35,"MFT/LPCC (Licensed, Waivered or Registered)","G0323","N/A",398.6,1]
[35,"Psychologist (Licensed or Waivered)","G0323","N/A",615.95000000000005,9,true,true,true,true,true,35,"Psychologist (Licensed or Waivered)","G0323","N/A",615.95000000000005,1]
[36,"LCSW (Licensed, Waivered or Registered)","G0323","N/A",444.04,9,true,true,true,true,true,36,"LCSW (Licensed, Waivered or Registered)","G0323","N/A",444.04,1]
[36,"MFT/LPCC (Licensed, Waivered or Registered)","G0323","N/A",444.04,9,true,true,true,true,true,36,"MFT/LPCC (Licensed, Waivered or Registered)","G0323","N/A",444.04,1]
[36,"Psychologist (Licensed or Waivered)","G0323","N/A",686.17,9,true,true,true,true,true,36,"Psychologist (Licensed or Waivered)","G0323","N/A",686.17,1]
[37,"LCSW (Licensed, Waivered or Registered)","G0323","N/A",389.33,9,true,true,true,true,true,37,"LCSW (Licensed, Waivered or Registered)","G0323","N/A",389.33,1]
[37,"MFT/LPCC (Licensed, Waivered or Registered)","G0323","N/A",389.33,9,true,true,true,true,true,37,"MFT/LPCC (Licensed, Waivered or Registered)","G0323","N/A",389.33,1]
[37,"Psychologist (Licensed or Waivered)","G0323","N/A",601.63,9,true,true,true,true,true,37,"Psychologist (Licensed or Waivered)","G0323","N/A",601.63,1]
[38,"LCSW (Licensed, Waivered or Registered)","G0323","N/A",548.91,9,true,true,true,true,true,38,"LCSW (Licensed, Waivered or Registered)","G0323","N/A",548.91,1]
[38,"MFT/LPCC (Licensed, Waivered or Registered)","G0323","N/A",548.91,9,true,true,true,true,true,38,"MFT/LPCC (Licensed, Waivered or Registered)","G0323","N/A",548.91,{"$f":"IF(OR(M24821=$B$24757,M24821=$B$24758,M24821=$B$24759),1,9)","v":1}]
[38,"Psychologist (Licensed or Waivered)","G0323","N/A",848.22,{"$f":"IF(C24822=\"G0323\",9,1)","v":9},true,true,true,true,true,38,"Psychologist (Licensed or Waivered)","G0323","N/A",848.22,1]
[39,"LCSW (Licensed, Waivered or Registered)","G0323","N/A",385.36,9,true,true,true,true,true,39,"LCSW (Licensed, Waivered or Registered)","G0323","N/A",385.36,1]
[39,"MFT/LPCC (Licensed, Waivered or Registered)","G0323","N/A",385.36,9,true,true,true,true,true,39,"MFT/LPCC (Licensed, Waivered or Registered)","G0323","N/A",385.36,1]
[39,"Psychologist (Licensed or Waivered)","G0323","N/A",595.49,9,true,true,true,true,true,39,"Psychologist (Licensed or Waivered)","G0323","N/A",595.49,1]
[40,"LCSW (Licensed, Waivered or Registered)","G0323","N/A",346.92,9,true,true,true,true,true,40,"LCSW (Licensed, Waivered or Registered)","G0323","N/A",346.92,1]
[40,"MFT/LPCC (Licensed, Waivered or Registered)","G0323","N/A",346.92,9,true,true,true,true,true,40,"MFT/LPCC (Licensed, Waivered or Registered)","G0323","N/A",346.92,1]
[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]
[41,"LCSW (Licensed, Waivered or Registered)","G0323","N/A",597.87,9,true,true,true,true,true,41,"LCSW (Licensed, Waivered or Registered)","G0323","N/A",597.87,1]
[41,"MFT/LPCC (Licensed, Waivered or Registered)","G0323","N/A",597.87,9,true,true,true,true,true,41,"MFT/LPCC (Licensed, Waivered or Registered)","G0323","N/A",597.87,1]
[41,"Psychologist (Licensed or Waivered)","G0323","N/A",923.89,9,true,true,true,true,true,41,"Psychologist (Licensed or Waivered)","G0323","N/A",923.89,1]
[42,"LCSW (Licensed, Waivered or Registered)","G0323","N/A",351.56,9,true,true,true,true,true,42,"LCSW (Licensed, Waivered or Registered)","G0323","N/A",351.56,1]
[42,"MFT/LPCC (Licensed, Waivered or Registered)","G0323","N/A",351.56,9,true,true,true,true,true,42,"MFT/LPCC (Licensed, Waivered or Registered)","G0323","N/A",351.56,1]
[42,"Psychologist (Licensed or Waivered)","G0323","N/A",543.26,9,true,true,true,true,true,42,"Psychologist (Licensed or Waivered)","G0323","N/A",543.26,1]
[43,"LCSW (Licensed, Waivered or Registered)","G0323","N/A",570.48,9,true,true,true,true,true,43,"LCSW (Licensed, Waivered or Registered)","G0323","N/A",570.48,1]
[43,"MFT/LPCC (Licensed, Waivered or Registered)","G0323","N/A",570.48,9,true,true,true,true,true,43,"MFT/LPCC (Licensed, Waivered or Registered)","G0323","N/A",570.48,1]
[43,"Psychologist (Licensed or Waivered)","G0323","N/A",881.56,9,true,true,true,true,true,43,"Psychologist (Licensed or Waivered)","G0323","N/A",881.56,1]
[44,"LCSW (Licensed, Waivered or Registered)","G0323","N/A",415.94,9,true,true,true,true,true,44,"LCSW (Licensed, Waivered or Registered)","G0323","N/A",415.94,1]
[44,"MFT/LPCC (Licensed, Waivered or Registered)","G0323","N/A",415.94,9,true,true,true,true,true,44,"MFT/LPCC (Licensed, Waivered or Registered)","G0323","N/A",415.94,1]
[44,"Psychologist (Licensed or Waivered)","G0323","N/A",642.75,9,{"$f":"EXACT(A24840,L24840)","v":true},{"$f":"EXACT(B24840,M24840)","v":true},{"$f":"EXACT(C24840,N24840)","v":true},{"$f":"EXACT(D24840,O24840)","v":true},{"$f":"EXACT(E24840,P24840)","v":true},44,"Psychologist (Licensed or Waivered)","G0323","N/A",642.75,1]
[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]
[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]
[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]
[]
[]
[]
[]
[null,null,null,null,null,{"$f":"IF(C24860=\"G0323\",9,1)","v":1},{"$f":"EXACT(A24860,L24864)","v":false},{"$f":"EXACT(B24860,M24864)","v":false},{"$f":"EXACT(C24860,N24864)","v":false},{"$f":"EXACT(D24860,O24864)","v":false},{"$f":"EXACT(E24860,P24864)","v":false},15,"Licensed Psychiatric Technician","G0323","N/A",240.94,{"$f":"IF(OR(M24860=$B$24757,M24860=$B$24758,M24860=$B$24759),1,9)","v":9},99]
[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,42,"Licensed Psychiatric Technician","G0323","N/A",247.1,9]
[null,null,null,null,null,1,false,false,false,false,false,56,"Licensed Psychiatric Technician","G0323","N/A",264.92,9]
[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,9,"Licensed Psychiatric Technician","G0323","N/A",271.35000000000002,9]
[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,35,"Licensed Psychiatric Technician","G0323","N/A",280.17,9]
[null,null,null,null,null,1,false,false,false,false,false,54,"Licensed Psychiatric Technician","G0323","N/A",285.63,9]
[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,29,"Licensed Psychiatric Technician","G0323","N/A",288.99,9]
[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,7,"Licensed Psychiatric Technician","G0323","N/A",289.68,9]
[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,44,"Licensed Psychiatric Technician","G0323","N/A",292.36,9]
[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,34,"Licensed Psychiatric Technician","G0323","N/A",293.67,9]
[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,31,"Licensed Psychiatric Technician","G0323","N/A",300.27999999999997,9]
[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,19,"Licensed Psychiatric Technician","G0323","N/A",306.02999999999997,9]
[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,50,"Licensed Psychiatric Technician","G0323","N/A",329.04,9]
[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,21,"Licensed Psychiatric Technician","G0323","N/A",332.85,9]
[null,null,null,null,null,1,false,false,false,false,false,57,"Licensed Psychiatric Technician","G0323","N/A",334.63,9]
[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,28,"Licensed Psychiatric Technician","G0323","N/A",357.78,9]
[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,38,"Licensed Psychiatric Technician","G0323","N/A",385.82,9]
[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,17,"Licensed Psychiatric Technician","G0323","N/A",417.02,9]
[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,15,"Licensed Vocational Nurse","G0323","N/A",281.06,9]
[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,42,"Licensed Vocational Nurse","G0323","N/A",288.24,9]
[null,null,null,null,null,1,false,false,false,false,false,56,"Licensed Vocational Nurse","G0323","N/A",309.02,9]
[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,9,"Licensed Vocational Nurse","G0323","N/A",316.52,9]
[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,35,"Licensed Vocational Nurse","G0323","N/A",326.81,9]
[null,null,null,null,null,1,false,false,false,false,false,54,"Licensed Vocational Nurse","G0323","N/A",333.18,9]
[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,29,"Licensed Vocational Nurse","G0323","N/A",337.1,9]
[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,7,"Licensed Vocational Nurse","G0323","N/A",337.91,9]
[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,44,"Licensed Vocational Nurse","G0323","N/A",341.03,9]
[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,34,"Licensed Vocational Nurse","G0323","N/A",342.56,9]
[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,{"$f":"IF(C24911=\"G0323\",9,1)","v":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,24,"Licensed Vocational Nurse","G0323","N/A",351.92,9]
[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,36,"Licensed Vocational Nurse","G0323","N/A",364.07,9]
[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,1,"Licensed Vocational Nurse","G0323","N/A",385.57,9]
[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,57,"Licensed Vocational Nurse","G0323","N/A",390.34,9]
[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,28,"Licensed Vocational Nurse","G0323","N/A",417.34,9]
[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,38,"Licensed Vocational Nurse","G0323","N/A",450.05,9]
[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,{"$f":"EXACT(A24924,L24928)","v":false},{"$f":"EXACT(B24924,M24928)","v":false},{"$f":"EXACT(C24924,N24928)","v":false},{"$f":"EXACT(D24924,O24928)","v":false},{"$f":"EXACT(E24924,P24928)","v":false},17,"Licensed Vocational Nurse","G0323","N/A",486.45,{"$f":"IF(OR(M24924=$B$24757,M24924=$B$24758,M24924=$B$24759),1,9)","v":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,15,"Nurse Practitioner","G0323","N/A",654.99,9]
[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,42,"Nurse Practitioner","G0323","N/A",671.74,9]
[null,null,null,null,null,1,false,false,false,false,false,56,"Nurse Practitioner","G0323","N/A",720.17,9]
[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,9,"Nurse Practitioner","G0323","N/A",737.63,9]
[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,35,"Nurse Practitioner","G0323","N/A",761.62,9]
[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,29,"Nurse Practitioner","G0323","N/A",785.59,9]
[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,7,"Nurse Practitioner","G0323","N/A",787.48,9]
[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,44,"Nurse Practitioner","G0323","N/A",794.75,9]
[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,34,"Nurse Practitioner","G0323","N/A",798.31,9]
[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,31,"Nurse Practitioner","G0323","N/A",816.3,9]
[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,19,"Nurse Practitioner","G0323","N/A",831.92,9]
[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,50,"Nurse Practitioner","G0323","N/A",894.46,9]
[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,21,"Nurse Practitioner","G0323","N/A",904.84,9]
[null,null,null,null,null,1,false,false,false,false,false,57,"Nurse Practitioner","G0323","N/A",909.66,9]
[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,38,"Nurse Practitioner","G0323","N/A",1048.82,9]
[null,null,null,null,null,1,false,false,false,false,false,54,"Nurse Practitioner","G0323","N/A",1054,9]
[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,43,"Nurse Practitioner","G0323","N/A",1090.03,9]
[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,41,"Nurse Practitioner","G0323","N/A",1142.3800000000001,9]
[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,15,"Occupational Therapist","G0323","N/A",456.31,9]
[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,42,"Occupational Therapist","G0323","N/A",467.98,9]
[null,null,null,null,null,1,false,false,false,false,false,56,"Occupational Therapist","G0323","N/A",501.72,9]
[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,9,"Occupational Therapist","G0323","N/A",513.89,9]
[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,35,"Occupational Therapist","G0323","N/A",530.6,9]
[null,null,null,null,null,1,false,false,false,false,false,54,"Occupational Therapist","G0323","N/A",540.94000000000005,9]
[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,29,"Occupational Therapist","G0323","N/A",547.29999999999995,9]
[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,7,"Occupational Therapist","G0323","N/A",548.62,9]
[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,44,"Occupational Therapist","G0323","N/A",553.67999999999995,9]
[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,{"$f":"IF(C24975=\"G0323\",9,1)","v":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,10,"Occupational Therapist","G0323","N/A",560.05999999999995,9]
[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,24,"Occupational Therapist","G0323","N/A",571.37,9]
[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,36,"Occupational Therapist","G0323","N/A",591.09,9]
[null,null,null,null,null,1,false,false,false,false,false,50,"Occupational Therapist","G0323","N/A",623.15,9]
[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,21,"Occupational Therapist","G0323","N/A",630.37,9]
[null,null,null,null,null,1,false,false,false,false,false,57,"Occupational Therapist","G0323","N/A",633.74,9]
[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,28,"Occupational Therapist","G0323","N/A",677.58,9]
[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,{"$f":"EXACT(A24988,L24992)","v":false},{"$f":"EXACT(B24988,M24992)","v":false},{"$f":"EXACT(C24988,N24992)","v":false},{"$f":"EXACT(D24988,O24992)","v":false},{"$f":"EXACT(E24988,P24992)","v":false},38,"Occupational Therapist","G0323","N/A",730.68,{"$f":"IF(OR(M24988=$B$24757,M24988=$B$24758,M24988=$B$24759),1,9)","v":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,17,"Occupational Therapist","G0323","N/A",789.78,9]
[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,15,"Physician Assistant","G0323","N/A",590.74,9]
[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,42,"Physician Assistant","G0323","N/A",605.84,9]
[null,null,null,null,null,1,false,false,false,false,false,56,"Physician Assistant","G0323","N/A",649.52,9]
[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,9,"Physician Assistant","G0323","N/A",665.28,9]
[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,35,"Physician Assistant","G0323","N/A",686.91,9]
[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,29,"Physician Assistant","G0323","N/A",708.53,9]
[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,7,"Physician Assistant","G0323","N/A",710.23,9]
[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,44,"Physician Assistant","G0323","N/A",716.79,9]
[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,34,"Physician Assistant","G0323","N/A",720,9]
[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,31,"Physician Assistant","G0323","N/A",736.23,9]
[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,19,"Physician Assistant","G0323","N/A",750.31,9]
[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,50,"Physician Assistant","G0323","N/A",806.72,9]
[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,21,"Physician Assistant","G0323","N/A",816.08,9]
[null,null,null,null,null,1,false,false,false,false,false,57,"Physician Assistant","G0323","N/A",820.43,9]
[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,38,"Physician Assistant","G0323","N/A",945.93,9]
[null,null,null,null,null,1,false,false,false,false,false,54,"Physician Assistant","G0323","N/A",950.6,9]
[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,43,"Physician Assistant","G0323","N/A",983.11,9]
[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,41,"Physician Assistant","G0323","N/A",1030.32,9]
[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,15,"Registered Nurse","G0323","N/A",535.01,9]
[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,42,"Registered Nurse","G0323","N/A",548.69000000000005,9]
[null,null,null,null,null,1,false,false,false,false,false,56,"Registered Nurse","G0323","N/A",588.25,9]
[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,9,"Registered Nurse","G0323","N/A",602.52,9]
[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,35,"Registered Nurse","G0323","N/A",622.11,9]
[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,29,"Registered Nurse","G0323","N/A",641.69000000000005,9]
[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,7,"Registered Nurse","G0323","N/A",643.23,9]
[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,44,"Registered Nurse","G0323","N/A",649.16999999999996,9]
[null,null,null,null,null,{"$f":"IF(C25039=\"G0323\",9,1)","v":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,34,"Registered Nurse","G0323","N/A",652.08000000000004,9]
[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,31,"Registered Nurse","G0323","N/A",666.78,9]
[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,19,"Registered Nurse","G0323","N/A",679.53,9]
[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,50,"Registered Nurse","G0323","N/A",730.62,9]
[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,21,"Registered Nurse","G0323","N/A",739.09,9]
[null,null,null,null,null,1,false,false,false,false,false,57,"Registered Nurse","G0323","N/A",743.04,9]
[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,38,"Registered Nurse","G0323","N/A",856.7,9]
[null,null,null,null,null,1,{"$f":"EXACT(A25052,L25056)","v":false},{"$f":"EXACT(B25052,M25056)","v":false},{"$f":"EXACT(C25052,N25056)","v":false},{"$f":"EXACT(D25052,O25056)","v":false},{"$f":"EXACT(E25052,P25056)","v":false},54,"Registered Nurse","G0323","N/A",860.93,{"$f":"IF(OR(M25052=$B$24757,M25052=$B$24758,M25052=$B$24759),1,9)","v":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,43,"Registered Nurse","G0323","N/A",890.37,9]
[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,41,"Registered Nurse","G0323","N/A",933.12,9]
[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,15,"Registered Pharmacist","G0323","N/A",630.49,9]
[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,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,56,"Registered Pharmacist","G0323","N/A",693.23,9]
[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,9,"Registered Pharmacist","G0323","N/A",710.05,9]
[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,35,"Registered Pharmacist","G0323","N/A",733.13,9]
[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,29,"Registered Pharmacist","G0323","N/A",756.21,9]
[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,7,"Registered Pharmacist","G0323","N/A",758.03,9]
[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,44,"Registered Pharmacist","G0323","N/A",765.02,9]
[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,34,"Registered Pharmacist","G0323","N/A",768.45,9]
[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,31,"Registered Pharmacist","G0323","N/A",785.77,9]
[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,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,36,"Registered Pharmacist","G0323","N/A",816.71,9]
[null,null,null,null,null,1,false,false,false,false,false,50,"Registered Pharmacist","G0323","N/A",861.01,9]
[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,21,"Registered Pharmacist","G0323","N/A",870.99,9]
[null,null,null,null,null,1,false,false,false,false,false,57,"Registered Pharmacist","G0323","N/A",875.64,9]
[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,38,"Registered Pharmacist","G0323","N/A",1009.59,9]
[null,null,null,null,null,1,false,false,false,false,false,54,"Registered Pharmacist","G0323","N/A",1014.58,9]
[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,{"$f":"EXACT(A25087,L25092)","v":false},{"$f":"EXACT(B25087,M25092)","v":false},{"$f":"EXACT(C25087,N25092)","v":false},{"$f":"EXACT(D25087,O25092)","v":false},{"$f":"EXACT(E25087,P25092)","v":false},43,"Registered Pharmacist","G0323","N/A",1049.26,9]
[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,41,"Registered Pharmacist","G0323","N/A",1099.6500000000001,9]
[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]
[null,null,null,null,null,1,false,false,false,false,false,15,"LCSW (Licensed, Waivered or Registered)","H0036","N/A",85.7,{"$f":"IF(OR(M25092=$B$24757,M25092=$B$24758,M25092=$B$24759),1,9)","v":1},99]
[null,null,null,null,null,1,false,false,false,false,false,40,"LCSW (Licensed, Waivered or Registered)","H0036","N/A",86.73,1]
[null,null,null,null,null,1,false,false,false,false,false,42,"LCSW (Licensed, Waivered or Registered)","H0036","N/A",87.89,1]
[null,null,null,null,null,1,false,false,false,false,false,56,"LCSW (Licensed, Waivered or Registered)","H0036","N/A",94.23,1]
[null,null,null,null,null,1,false,false,false,false,false,39,"LCSW (Licensed, Waivered or Registered)","H0036","N/A",96.34,1]
[null,null,null,null,null,1,false,false,false,false,false,9,"LCSW (Licensed, Waivered or Registered)","H0036","N/A",96.51,1]
[null,null,null,null,null,1,false,false,false,false,false,37,"LCSW (Licensed, Waivered or Registered)","H0036","N/A",97.33,1]
[null,null,null,null,null,1,false,false,false,false,false,35,"LCSW (Licensed, Waivered or Registered)","H0036","N/A",99.65,1]
[null,null,null,null,null,1,false,false,false,false,false,13,"LCSW (Licensed, Waivered or Registered)","H0036","N/A",101.82,1]
[null,null,null,null,null,1,false,false,false,false,false,29,"LCSW (Licensed, Waivered or Registered)","H0036","N/A",102.79,1]
[null,null,null,null,null,1,false,false,false,false,false,27,"LCSW (Licensed, Waivered or Registered)","H0036","N/A",102.97,1]
[null,null,null,null,null,{"$f":"IF(C25103=\"G0323\",9,1)","v":1},false,false,false,false,false,7,"LCSW (Licensed, Waivered or Registered)","H0036","N/A",103.04,1]
[null,null,null,null,null,1,false,false,false,false,false,49,"LCSW (Licensed, Waivered or Registered)","H0036","N/A",103.11,1]
[null,null,null,null,null,1,false,false,false,false,false,44,"LCSW (Licensed, Waivered or Registered)","H0036","N/A",103.99,1]
[null,null,null,null,null,1,false,false,false,false,false,30,"LCSW (Licensed, Waivered or Registered)","H0036","N/A",104.23,1]
[null,null,null,null,null,1,false,false,false,false,false,34,"LCSW (Licensed, Waivered or Registered)","H0036","N/A",104.45,1]
[null,null,null,null,null,1,false,false,false,false,false,10,"LCSW (Licensed, Waivered or Registered)","H0036","N/A",105.18,1]
[null,null,null,null,null,1,false,false,false,false,false,31,"LCSW (Licensed, Waivered or Registered)","H0036","N/A",106.81,1]
[null,null,null,null,null,1,false,false,false,false,false,24,"LCSW (Licensed, Waivered or Registered)","H0036","N/A",107.31,1]
[null,null,null,null,null,1,false,false,false,false,false,19,"LCSW (Licensed, Waivered or Registered)","H0036","N/A",108.85,1]
[null,null,null,null,null,1,false,false,false,false,false,36,"LCSW (Licensed, Waivered or Registered)","H0036","N/A",111.01,1]
[null,null,null,null,null,1,false,false,false,false,false,50,"LCSW (Licensed, Waivered or Registered)","H0036","N/A",117.03,1]
[null,null,null,null,null,1,false,false,false,false,false,1,"LCSW (Licensed, Waivered or Registered)","H0036","N/A",117.57,1]
[null,null,null,null,null,1,false,false,false,false,false,21,"LCSW (Licensed, Waivered or Registered)","H0036","N/A",118.39,1]
[null,null,null,null,null,1,false,false,false,false,false,57,"LCSW (Licensed, Waivered or Registered)","H0036","N/A",119.02,1]
[null,null,null,null,null,1,false,false,false,false,false,28,"LCSW (Licensed, Waivered or Registered)","H0036","N/A",127.26,1]
[null,null,null,null,null,1,false,false,false,false,false,38,"LCSW (Licensed, Waivered or Registered)","H0036","N/A",137.22999999999999,1]
[null,null,null,null,null,1,{"$f":"EXACT(A25119,L25124)","v":false},{"$f":"EXACT(B25119,M25124)","v":false},{"$f":"EXACT(C25119,N25124)","v":false},{"$f":"EXACT(D25119,O25124)","v":false},{"$f":"EXACT(E25119,P25124)","v":false},54,"LCSW (Licensed, Waivered or Registered)","H0036","N/A",137.91,1]
[null,null,null,null,null,1,false,false,false,false,false,33,"LCSW (Licensed, Waivered or Registered)","H0036","N/A",141.9,1]
[null,null,null,null,null,1,false,false,false,false,false,43,"LCSW (Licensed, Waivered or Registered)","H0036","N/A",142.62,1]
[null,null,null,null,null,1,false,false,false,false,false,17,"LCSW (Licensed, Waivered or Registered)","H0036","N/A",148.33000000000001,1]
[null,null,null,null,null,1,false,false,false,false,false,41,"LCSW (Licensed, Waivered or Registered)","H0036","N/A",149.47,1]
[null,null,null,null,null,1,false,false,false,false,false,22,"LCSW (Licensed, Waivered or Registered)","H0036","N/A",150.16999999999999,{"$f":"IF(OR(M25124=$B$24757,M25124=$B$24758,M25124=$B$24759),1,9)","v":1}]
[null,null,null,null,null,1,false,false,false,false,false,15,"MFT/LPCC (Licensed, Waivered or Registered)","H0036","N/A",85.7,1]
[null,null,null,null,null,1,false,false,false,false,false,40,"MFT/LPCC (Licensed, Waivered or Registered)","H0036","N/A",86.73,1]
[null,null,null,null,null,1,false,false,false,false,false,42,"MFT/LPCC (Licensed, Waivered or Registered)","H0036","N/A",87.89,1]
[null,null,null,null,null,1,false,false,false,false,false,56,"MFT/LPCC (Licensed, Waivered or Registered)","H0036","N/A",94.23,1]
[null,null,null,null,null,1,false,false,false,false,false,39,"MFT/LPCC (Licensed, Waivered or Registered)","H0036","N/A",96.34,1]
[null,null,null,null,null,1,false,false,false,false,false,9,"MFT/LPCC (Licensed, Waivered or Registered)","H0036","N/A",96.51,1]
[null,null,null,null,null,1,false,false,false,false,false,37,"MFT/LPCC (Licensed, Waivered or Registered)","H0036","N/A",97.33,1]
[null,null,null,null,null,1,false,false,false,false,false,35,"MFT/LPCC (Licensed, Waivered or Registered)","H0036","N/A",99.65,1]
[null,null,null,null,null,1,false,false,false,false,false,13,"MFT/LPCC (Licensed, Waivered or Registered)","H0036","N/A",101.82,1]
[null,null,null,null,null,1,false,false,false,false,false,29,"MFT/LPCC (Licensed, Waivered or Registered)","H0036","N/A",102.79,1]
[null,null,null,null,null,1,false,false,false,false,false,27,"MFT/LPCC (Licensed, Waivered or Registered)","H0036","N/A",102.97,1]
[null,null,null,null,null,1,false,false,false,false,false,7,"MFT/LPCC (Licensed, Waivered or Registered)","H0036","N/A",103.04,1]
[null,null,null,null,null,1,false,false,false,false,false,49,"MFT/LPCC (Licensed, Waivered or Registered)","H0036","N/A",103.11,1]
[null,null,null,null,null,1,false,false,false,false,false,44,"MFT/LPCC (Licensed, Waivered or Registered)","H0036","N/A",103.99,1]
[null,null,null,null,null,1,false,false,false,false,false,30,"MFT/LPCC (Licensed, Waivered or Registered)","H0036","N/A",104.23,1]
[null,null,null,null,null,1,false,false,false,false,false,34,"MFT/LPCC (Licensed, Waivered or Registered)","H0036","N/A",104.45,1]
[null,null,null,null,null,1,false,false,false,false,false,10,"MFT/LPCC (Licensed, Waivered or Registered)","H0036","N/A",105.18,1]
[null,null,null,null,null,1,false,false,false,false,false,31,"MFT/LPCC (Licensed, Waivered or Registered)","H0036","N/A",106.81,1]
[null,null,null,null,null,1,false,false,false,false,false,24,"MFT/LPCC (Licensed, Waivered or Registered)","H0036","N/A",107.31,1]
[null,null,null,null,null,1,false,false,false,false,false,19,"MFT/LPCC (Licensed, Waivered or Registered)","H0036","N/A",108.85,1]
[null,null,null,null,null,1,false,false,false,false,false,36,"MFT/LPCC (Licensed, Waivered or Registered)","H0036","N/A",111.01,1]
[null,null,null,null,null,1,false,false,false,false,false,50,"MFT/LPCC (Licensed, Waivered or Registered)","H0036","N/A",117.03,1]
[null,null,null,null,null,1,false,false,false,false,false,1,"MFT/LPCC (Licensed, Waivered or Registered)","H0036","N/A",117.57,1]
[null,null,null,null,null,1,false,false,false,false,false,21,"MFT/LPCC (Licensed, Waivered or Registered)","H0036","N/A",118.39,1]
[null,null,null,null,null,1,false,false,false,false,false,57,"MFT/LPCC (Licensed, Waivered or Registered)","H0036","N/A",119.02,1]
[null,null,null,null,null,1,false,false,false,false,false,28,"MFT/LPCC (Licensed, Waivered or Registered)","H0036","N/A",127.26,1]
[null,null,null,null,null,1,{"$f":"EXACT(A25151,L25156)","v":false},{"$f":"EXACT(B25151,M25156)","v":false},{"$f":"EXACT(C25151,N25156)","v":false},{"$f":"EXACT(D25151,O25156)","v":false},{"$f":"EXACT(E25151,P25156)","v":false},38,"MFT/LPCC (Licensed, Waivered or Registered)","H0036","N/A",137.22999999999999,1]
[null,null,null,null,null,1,false,false,false,false,false,54,"MFT/LPCC (Licensed, Waivered or Registered)","H0036","N/A",137.91,1]
[null,null,null,null,null,1,false,false,false,false,false,33,"MFT/LPCC (Licensed, Waivered or Registered)","H0036","N/A",141.9,1]
[null,null,null,null,null,1,false,false,false,false,false,43,"MFT/LPCC (Licensed, Waivered or Registered)","H0036","N/A",142.62,1]
[null,null,null,null,null,1,false,false,false,false,false,17,"MFT/LPCC (Licensed, Waivered or Registered)","H0036","N/A",148.33000000000001,1]
[null,null,null,null,null,1,false,false,false,false,false,41,"MFT/LPCC (Licensed, Waivered or Registered)","H0036","N/A",149.47,{"$f":"IF(OR(M25156=$B$24757,M25156=$B$24758,M25156=$B$24759),1,9)","v":1}]
[null,null,null,null,null,1,false,false,false,false,false,22,"MFT/LPCC (Licensed, Waivered or Registered)","H0036","N/A",150.16999999999999,1]
[null,null,null,null,null,1,false,false,false,false,false,15,"Psychologist (Licensed or Waivered)","H0036","N/A",132.43,1]
[null,null,null,null,null,1,false,false,false,false,false,40,"Psychologist (Licensed or Waivered)","H0036","N/A",134.02000000000001,1]
[null,null,null,null,null,1,false,false,false,false,false,42,"Psychologist (Licensed or Waivered)","H0036","N/A",135.82,1]
[null,null,null,null,null,1,false,false,false,false,false,56,"Psychologist (Licensed or Waivered)","H0036","N/A",145.61000000000001,1]
[null,null,null,null,null,1,false,false,false,false,false,39,"Psychologist (Licensed or Waivered)","H0036","N/A",148.87,1]
[null,null,null,null,null,1,false,false,false,false,false,9,"Psychologist (Licensed or Waivered)","H0036","N/A",149.13999999999999,1]
[null,null,null,null,null,1,false,false,false,false,false,37,"Psychologist (Licensed or Waivered)","H0036","N/A",150.41,1]
[null,null,null,null,null,1,false,false,false,false,false,35,"Psychologist (Licensed or Waivered)","H0036","N/A",153.99,1]
[null,null,null,null,null,1,false,false,false,false,false,13,"Psychologist (Licensed or Waivered)","H0036","N/A",157.34,1]
[null,null,null,null,null,{"$f":"IF(C25167=\"G0323\",9,1)","v":1},false,false,false,false,false,29,"Psychologist (Licensed or Waivered)","H0036","N/A",158.84,1]
[null,null,null,null,null,1,false,false,false,false,false,27,"Psychologist (Licensed or Waivered)","H0036","N/A",159.12,1]
[null,null,null,null,null,1,false,false,false,false,false,7,"Psychologist (Licensed or Waivered)","H0036","N/A",159.22,1]
[null,null,null,null,null,1,false,false,false,false,false,49,"Psychologist (Licensed or Waivered)","H0036","N/A",159.34,1]
[null,null,null,null,null,1,false,false,false,false,false,44,"Psychologist (Licensed or Waivered)","H0036","N/A",160.69,1]
[null,null,null,null,null,1,false,false,false,false,false,30,"Psychologist (Licensed or Waivered)","H0036","N/A",161.06,1]
[null,null,null,null,null,1,false,false,false,false,false,34,"Psychologist (Licensed or Waivered)","H0036","N/A",161.41,1]
[null,null,null,null,null,1,false,false,false,false,false,10,"Psychologist (Licensed or Waivered)","H0036","N/A",162.54,1]
[null,null,null,null,null,1,false,false,false,false,false,31,"Psychologist (Licensed or Waivered)","H0036","N/A",165.05,1]
[null,null,null,null,null,1,false,false,false,false,false,24,"Psychologist (Licensed or Waivered)","H0036","N/A",165.82,1]
[null,null,null,null,null,1,false,false,false,false,false,19,"Psychologist (Licensed or Waivered)","H0036","N/A",168.2,1]
[null,null,null,null,null,1,false,false,false,false,false,36,"Psychologist (Licensed or Waivered)","H0036","N/A",171.54,1]
[null,null,null,null,null,1,false,false,false,false,false,50,"Psychologist (Licensed or Waivered)","H0036","N/A",180.85,1]
[null,null,null,null,null,1,false,false,false,false,false,1,"Psychologist (Licensed or Waivered)","H0036","N/A",181.67,1]
[null,null,null,null,null,1,false,false,false,false,false,21,"Psychologist (Licensed or Waivered)","H0036","N/A",182.95,1]
[null,null,null,null,null,1,false,false,false,false,false,57,"Psychologist (Licensed or Waivered)","H0036","N/A",183.92,1]
[null,null,null,null,null,1,{"$f":"EXACT(A25183,L25188)","v":false},{"$f":"EXACT(B25183,M25188)","v":false},{"$f":"EXACT(C25183,N25188)","v":false},{"$f":"EXACT(D25183,O25188)","v":false},{"$f":"EXACT(E25183,P25188)","v":false},28,"Psychologist (Licensed or Waivered)","H0036","N/A",196.65,1]
[null,null,null,null,null,1,false,false,false,false,false,38,"Psychologist (Licensed or Waivered)","H0036","N/A",212.06,1]
[null,null,null,null,null,1,false,false,false,false,false,54,"Psychologist (Licensed or Waivered)","H0036","N/A",213.1,1]
[null,null,null,null,null,1,false,false,false,false,false,33,"Psychologist (Licensed or Waivered)","H0036","N/A",219.28,1]
[null,null,null,null,null,1,false,false,false,false,false,43,"Psychologist (Licensed or Waivered)","H0036","N/A",220.39,1]
[null,null,null,null,null,1,false,false,false,false,false,17,"Psychologist (Licensed or Waivered)","H0036","N/A",229.21,{"$f":"IF(OR(M25188=$B$24757,M25188=$B$24758,M25188=$B$24759),1,9)","v":1}]
[null,null,null,null,null,1,false,false,false,false,false,41,"Psychologist (Licensed or Waivered)","H0036","N/A",230.97,1]
[null,null,null,null,null,1,false,false,false,false,false,22,"Psychologist (Licensed or Waivered)","H0036","N/A",232.05,1]
[null,null,null,null,null,1,false,false,false,false,false,15,"Licensed Physician","H0036","N/A",329.29,9]
[null,null,null,null,null,1,false,false,false,false,false,40,"Licensed Physician","H0036","N/A",333.26,9]
[null,null,null,null,null,1,false,false,false,false,false,42,"Licensed Physician","H0036","N/A",337.71,9]
[null,null,null,null,null,1,false,false,false,false,false,56,"Licensed Physician","H0036","N/A",362.06,9]
[null,null,null,null,null,1,false,false,false,false,false,39,"Licensed Physician","H0036","N/A",370.18,9]
[null,null,null,null,null,1,false,false,false,false,false,9,"Licensed Physician","H0036","N/A",370.84,9]
[null,null,null,null,null,1,false,false,false,false,false,37,"Licensed Physician","H0036","N/A",373.99,9]
[null,null,null,null,null,1,false,false,false,false,false,35,"Licensed Physician","H0036","N/A",382.9,9]
[null,null,null,null,null,1,false,false,false,false,false,13,"Licensed Physician","H0036","N/A",391.22,9]
[null,null,null,null,null,1,false,false,false,false,false,29,"Licensed Physician","H0036","N/A",394.95,9]
[null,null,null,null,null,1,false,false,false,false,false,27,"Licensed Physician","H0036","N/A",395.66,9]
[null,null,null,null,null,1,false,false,false,false,false,7,"Licensed Physician","H0036","N/A",395.9,9]
[null,null,null,null,null,1,false,false,false,false,false,49,"Licensed Physician","H0036","N/A",396.19,9]
[null,null,null,null,null,1,false,false,false,false,false,54,"Licensed Physician","H0036","N/A",398.19,9]
[null,null,null,null,null,1,false,false,false,false,false,44,"Licensed Physician","H0036","N/A",399.55,9]
[null,null,null,null,null,1,false,false,false,false,false,30,"Licensed Physician","H0036","N/A",400.48,9]
[null,null,null,null,null,1,false,false,false,false,false,34,"Licensed Physician","H0036","N/A",401.34,9]
[null,null,null,null,null,1,false,false,false,false,false,10,"Licensed Physician","H0036","N/A",404.16,9]
[null,null,null,null,null,1,false,false,false,false,false,31,"Licensed Physician","H0036","N/A",410.39,9]
[null,null,null,null,null,1,false,false,false,false,false,24,"Licensed Physician","H0036","N/A",412.32,9]
[null,null,null,null,null,1,false,false,false,false,false,19,"Licensed Physician","H0036","N/A",418.24,9]
[null,null,null,null,null,1,false,false,false,false,false,36,"Licensed Physician","H0036","N/A",426.55,9]
[null,null,null,null,null,1,false,false,false,false,false,50,"Licensed Physician","H0036","N/A",449.68,9]
[null,null,null,null,null,1,false,false,false,false,false,1,"Licensed Physician","H0036","N/A",451.74,9]
[null,null,null,null,null,1,{"$f":"EXACT(A25215,L25220)","v":false},{"$f":"EXACT(B25215,M25220)","v":false},{"$f":"EXACT(C25215,N25220)","v":false},{"$f":"EXACT(D25215,O25220)","v":false},{"$f":"EXACT(E25215,P25220)","v":false},21,"Licensed Physician","H0036","N/A",454.9,9]
[null,null,null,null,null,1,false,false,false,false,false,57,"Licensed Physician","H0036","N/A",457.33,9]
[null,null,null,null,null,1,false,false,false,false,false,33,"Licensed Physician","H0036","N/A",475.77,9]
[null,null,null,null,null,1,false,false,false,false,false,28,"Licensed Physician","H0036","N/A",488.96,9]
[null,null,null,null,null,1,false,false,false,false,false,22,"Licensed Physician","H0036","N/A",517.80999999999995,9]
[null,null,null,null,null,1,false,false,false,false,false,38,"Licensed Physician","H0036","N/A",527.28,{"$f":"IF(OR(M25220=$B$24757,M25220=$B$24758,M25220=$B$24759),1,9)","v":9}]
[null,null,null,null,null,1,false,false,false,false,false,43,"Licensed Physician","H0036","N/A",548.01,9]
[null,null,null,null,null,1,false,false,false,false,false,17,"Licensed Physician","H0036","N/A",569.92999999999995,9]
[null,null,null,null,null,1,false,false,false,false,false,41,"Licensed Physician","H0036","N/A",574.32000000000005,9]
[null,null,null,null,null,1,false,false,false,false,false,15,"Nurse Practitioner","H0036","N/A",163.75,9]
[null,null,null,null,null,1,false,false,false,false,false,40,"Nurse Practitioner","H0036","N/A",165.72,9]
[null,null,null,null,null,1,false,false,false,false,false,42,"Nurse Practitioner","H0036","N/A",167.94,9]
[null,null,null,null,null,1,false,false,false,false,false,56,"Nurse Practitioner","H0036","N/A",180.04,9]
[null,null,null,null,null,1,false,false,false,false,false,39,"Nurse Practitioner","H0036","N/A",184.08,9]
[null,null,null,null,null,1,false,false,false,false,false,9,"Nurse Practitioner","H0036","N/A",184.41,9]
[null,null,null,null,null,1,false,false,false,false,false,37,"Nurse Practitioner","H0036","N/A",185.98,9]
[null,null,null,null,null,{"$f":"IF(C25231=\"G0323\",9,1)","v":1},false,false,false,false,false,35,"Nurse Practitioner","H0036","N/A",190.41,9]
[null,null,null,null,null,1,false,false,false,false,false,13,"Nurse Practitioner","H0036","N/A",194.55,9]
[null,null,null,null,null,1,false,false,false,false,false,29,"Nurse Practitioner","H0036","N/A",196.4,9]
[null,null,null,null,null,1,false,false,false,false,false,27,"Nurse Practitioner","H0036","N/A",196.75,9]
[null,null,null,null,null,1,false,false,false,false,false,7,"Nurse Practitioner","H0036","N/A",196.87,9]
[null,null,null,null,null,1,false,false,false,false,false,49,"Nurse Practitioner","H0036","N/A",197.02,9]
[null,null,null,null,null,1,false,false,false,false,false,44,"Nurse Practitioner","H0036","N/A",198.69,9]
[null,null,null,null,null,1,false,false,false,false,false,30,"Nurse Practitioner","H0036","N/A",199.15,9]
[null,null,null,null,null,1,false,false,false,false,false,34,"Nurse Practitioner","H0036","N/A",199.58,9]
[null,null,null,null,null,1,false,false,false,false,false,10,"Nurse Practitioner","H0036","N/A",200.98,9]
[null,null,null,null,null,1,false,false,false,false,false,31,"Nurse Practitioner","H0036","N/A",204.08,9]
[null,null,null,null,null,1,false,false,false,false,false,24,"Nurse Practitioner","H0036","N/A",205.04,9]
[null,null,null,null,null,1,false,false,false,false,false,19,"Nurse Practitioner","H0036","N/A",207.98,9]
[null,null,null,null,null,1,false,false,false,false,false,36,"Nurse Practitioner","H0036","N/A",212.11,9]
[null,null,null,null,null,1,false,false,false,false,false,50,"Nurse Practitioner","H0036","N/A",223.62,9]
[null,null,null,null,null,1,false,false,false,false,false,1,"Nurse Practitioner","H0036","N/A",224.64,9]
[null,null,null,null,null,1,{"$f":"EXACT(A25247,L25252)","v":false},{"$f":"EXACT(B25247,M25252)","v":false},{"$f":"EXACT(C25247,N25252)","v":false},{"$f":"EXACT(D25247,O25252)","v":false},{"$f":"EXACT(E25247,P25252)","v":false},21,"Nurse Practitioner","H0036","N/A",226.21,9]
[null,null,null,null,null,1,false,false,false,false,false,57,"Nurse Practitioner","H0036","N/A",227.42,9]
[null,null,null,null,null,1,false,false,false,false,false,28,"Nurse Practitioner","H0036","N/A",243.15,9]
[null,null,null,null,null,1,false,false,false,false,false,38,"Nurse Practitioner","H0036","N/A",262.20999999999998,9]
[null,null,null,null,null,1,false,false,false,false,false,54,"Nurse Practitioner","H0036","N/A",263.5,9]
[null,null,null,null,null,1,false,false,false,false,false,33,"Nurse Practitioner","H0036","N/A",271.13,{"$f":"IF(OR(M25252=$B$24757,M25252=$B$24758,M25252=$B$24759),1,9)","v":9}]
[null,null,null,null,null,1,false,false,false,false,false,43,"Nurse Practitioner","H0036","N/A",272.51,9]
[null,null,null,null,null,1,false,false,false,false,false,17,"Nurse Practitioner","H0036","N/A",283.41000000000003,9]
[null,null,null,null,null,1,false,false,false,false,false,41,"Nurse Practitioner","H0036","N/A",285.60000000000002,9]
[null,null,null,null,null,1,false,false,false,false,false,22,"Nurse Practitioner","H0036","N/A",286.93,9]
[null,null,null,null,null,1,false,false,false,false,false,15,"Physician Assistant","H0036","N/A",147.69,9]
[null,null,null,null,null,1,false,false,false,false,false,40,"Physician Assistant","H0036","N/A",149.46,9]
[null,null,null,null,null,1,false,false,false,false,false,42,"Physician Assistant","H0036","N/A",151.46,9]
[null,null,null,null,null,1,false,false,false,false,false,56,"Physician Assistant","H0036","N/A",162.38,9]
[null,null,null,null,null,1,false,false,false,false,false,39,"Physician Assistant","H0036","N/A",166.02,9]
[null,null,null,null,null,1,false,false,false,false,false,9,"Physician Assistant","H0036","N/A",166.32,9]
[null,null,null,null,null,1,false,false,false,false,false,37,"Physician Assistant","H0036","N/A",167.74,9]
[null,null,null,null,null,1,false,false,false,false,false,35,"Physician Assistant","H0036","N/A",171.73,9]
[null,null,null,null,null,1,false,false,false,false,false,13,"Physician Assistant","H0036","N/A",175.46,9]
[null,null,null,null,null,1,false,false,false,false,false,29,"Physician Assistant","H0036","N/A",177.13,9]
[null,null,null,null,null,1,false,false,false,false,false,27,"Physician Assistant","H0036","N/A",177.45,9]
[null,null,null,null,null,1,false,false,false,false,false,7,"Physician Assistant","H0036","N/A",177.56,9]
[null,null,null,null,null,1,false,false,false,false,false,49,"Physician Assistant","H0036","N/A",177.69,9]
[null,null,null,null,null,1,false,false,false,false,false,44,"Physician Assistant","H0036","N/A",179.2,9]
[null,null,null,null,null,1,false,false,false,false,false,30,"Physician Assistant","H0036","N/A",179.61,9]
[null,null,null,null,null,1,false,false,false,false,false,34,"Physician Assistant","H0036","N/A",180,9]
[null,null,null,null,null,1,false,false,false,false,false,10,"Physician Assistant","H0036","N/A",181.26,9]
[null,null,null,null,null,1,false,false,false,false,false,31,"Physician Assistant","H0036","N/A",184.06,9]
[null,null,null,null,null,1,false,false,false,false,false,24,"Physician Assistant","H0036","N/A",184.92,9]
[null,null,null,null,null,1,false,false,false,false,false,19,"Physician Assistant","H0036","N/A",187.58,9]
[null,null,null,null,null,1,false,false,false,false,false,36,"Physician Assistant","H0036","N/A",191.31,9]
[null,null,null,null,null,1,false,false,false,false,false,50,"Physician Assistant","H0036","N/A",201.68,9]
[null,null,null,null,null,1,{"$f":"EXACT(A25279,L25284)","v":false},{"$f":"EXACT(B25279,M25284)","v":false},{"$f":"EXACT(C25279,N25284)","v":false},{"$f":"EXACT(D25279,O25284)","v":false},{"$f":"EXACT(E25279,P25284)","v":false},1,"Physician Assistant","H0036","N/A",202.6,9]
[null,null,null,null,null,1,false,false,false,false,false,21,"Physician Assistant","H0036","N/A",204.02,9]
[null,null,null,null,null,1,false,false,false,false,false,57,"Physician Assistant","H0036","N/A",205.11,9]
[null,null,null,null,null,1,false,false,false,false,false,28,"Physician Assistant","H0036","N/A",219.3,9]
[null,null,null,null,null,1,false,false,false,false,false,38,"Physician Assistant","H0036","N/A",236.48,9]
[null,null,null,null,null,1,false,false,false,false,false,54,"Physician Assistant","H0036","N/A",237.65,{"$f":"IF(OR(M25284=$B$24757,M25284=$B$24758,M25284=$B$24759),1,9)","v":9}]
[null,null,null,null,null,null,null,null,null,null,null,33,"Physician Assistant","H0036","N/A",244.53,9]
[null,null,null,null,null,null,null,null,null,null,null,43,"Physician Assistant","H0036","N/A",245.78,9]
[null,null,null,null,null,null,null,null,null,null,null,17,"Physician Assistant","H0036","N/A",255.61,9]
[null,null,null,null,null,null,null,null,null,null,null,41,"Physician Assistant","H0036","N/A",257.58,9]
[null,null,null,null,null,null,null,null,null,null,null,22,"Physician Assistant","H0036","N/A",258.77999999999997,9]