TAX ID|NPI|SCHEDNO|CPTNO|CPT|MODIFIER|FULLAMT|PROFAMT|TECHAMT|ANESUNITS|BEGIN DATE
04-3106156|1992826689|136|95700|95700 - EEG CONT REC W/VIDEO BY TECH MIN 8 CHANNELS| |124.33||||01/01/2020
04-3106156|1992826689|136|95705|95705 - EEG W/O VIDEO BY TECH 2-12 HR UNMONITORED| |79.58||||01/01/2020
04-3106156|1992826689|136|95706|95706 - EEG W/O VIDEO BY TECH 2-12 HR INTERMITTENT MNTR| |179.97||||01/01/2020
04-3106156|1992826689|136|95707|95707 - EEG W/O VIDEO BY TECH 2-12HR CONTINUOUS R-T MNTR| |273.59||||01/01/2020
04-3106156|1992826689|136|95708|95708 - EEG W/O VID BY TECH EA INCR 12-26HR UNMONITORED| |169||||01/01/2020
04-3106156|1992826689|136|95709|95709 - EEG W/O VID BY TECH EA INCR 12-26 HR INTMT MNTR| |373.25||||01/01/2020
04-3106156|1992826689|136|95710|95710 - EEG W/O VID TECH EA INCR 12-26 HR CONT R-T MNTR| |650.63||||01/01/2020
04-3106156|1992826689|136|95711|95711 - VEEG BY TECH 2-12 HOURS UNMONITORED| |158.39||||01/01/2020
04-3106156|1992826689|136|95712|95712 - VEEG BY TECH 2-12 HR INTERMITTENT MONITORING| |233.42||||01/01/2020
04-3106156|1992826689|136|95713|95713 - VEEG BY TECH 2-12 HR CONTINUOUS R-T MONITORING| |326.27||||01/01/2020
04-3106156|1992826689|136|95714|95714 - VEEG BY TECH EA INCR 12-26 HR UNMONITORED| |254.27||||01/01/2020
04-3106156|1992826689|136|95715|95715 - VEEG BY TECH EA INCR 12-26 HR INTERMITTENT MNTR| |411.15||||01/01/2020
04-3106156|1992826689|136|95716|95716 - VEEG BY TECH EA INCR 12-26 HR CONT R-T MNTR| |653.25||||01/01/2020
04-3106156|1992826689|136|95717|95717 - EEG PHYS/QHP 2-12 HR WITHOUT VIDEO| |101.49||||01/01/2020
04-3106156|1992826689|136|95718|95718 - EEG PHYS/QHP 2-12 HR WITH VEEG| |132.9||||01/01/2020
04-3106156|1992826689|136|95719|95719 - EEG PHYS/QHP EA INCR>12HR<26HR AFTER 24HR WO VID| |157.15||||01/01/2020
04-3106156|1992826689|136|95720|95720 - EEG PHYS/QHP EA INCR>12HR<26HR AFTER 24HR W/VEEG| |205.77||||01/01/2020
04-3106156|1992826689|136|95721|95721 - EEG COMPLETE STD PHYS/QHP>36 HR<60 HR W/O VIDEO| |206.41||||01/01/2020
04-3106156|1992826689|136|95722|95722 - EEG COMPLETE STD PHYS/QHP>36 HR<60 HR W/VEEG| |251.09||||01/01/2020
04-3106156|1992826689|136|95723|95723 - EEG COMPLETE STD PHYS/QHP>60 HR<84 HR W/O VIDEO| |255.54||||01/01/2020
04-3106156|1992826689|136|95724|95724 - EEG COMPLETE STD PHYS/QHP>60 HR<84 HR W/VEEG| |320.15||||01/01/2020
04-3106156|1992826689|136|95725|95725 - EEG COMPLETE STD PHYS/QHP>84 HR W/O VID| |290.73||||01/01/2020
04-3106156|1992826689|136|95726|95726 - EEG COMPLETE STD PHYS/QHP>84 HR W/VEEG| |404.56||||01/01/2020
04-3106156|1992826689|136|95812|95812 - ELECTROENCEPHALOGRAM EXTEND MONITORING 41-60 MIN| |302.18|57.77|||01/01/2020
04-3106156|1992826689|136|95816|95816 - ELECTROENCEPHALOGRAM W/REC AWAKE&DROWSY| |337.23|57.77|||01/01/2020
04-3106156|1992826689|136|95819|95819 - ELECTROENCEPHALOGRAM W/REC AWAKE&ASLEEP| |395.94|57.77|||01/01/2020
04-3106156|1992826689|136|95951|95951 - LOCALIZE CEREBRAL SEIZURE CABLE/RADIO EEG/VIDEO| |1667.6|320|||01/01/2020
04-3106156|1992826689|136|95953|95953 - LOCALIZE CEREBRAL SEIZURE CPTR PORTABLE EEG| |419.4|163.91|||01/01/2020
04-3106156|1992826689|136|96156|96156 - HEALTH BEHAVIOR ASSESSMENT/RE-ASSESSMENT| |89.27||||01/01/2020
04-3106156|1992826689|136|96158|96158 - HEALTH BEHAVIOR IVNTJ INDIV F2F 1ST 30 MIN| |60.85||||01/01/2020
04-3106156|1992826689|136|96159|96159 - HEALTH BEHAVIOR IVNTJ INDIV F2F EA ADDL 15 MIN| |21||||01/01/2020
04-3106156|1992826689|136|96164|96164 - HEALTH BEHAVIOR IVNTJ GROUP F2F 1ST 30 MIN| |8.9||||01/01/2020
04-3106156|1992826689|136|96165|96165 - HEALTH BEHAVIOR IVNTJ GROUP F2F EA ADDL 15 MIN| |3.93||||01/01/2020
04-3106156|1992826689|136|96167|96167 - HEALTH BEHAVIOR IVNTJ FAM W/PT F2F 1ST 30 MIN| |65.14||||01/01/2020
04-3106156|1992826689|136|96168|96168 - HEALTH BEHAVIOR IVNTJ FAM W/PT F2F EA ADD 15 MIN| |23.13||||01/01/2020
04-3106156|1992826689|136|96170|96170 - HEALTH BEHAVIOR IVNTJ FAM W/O PT F2F 1ST 30 MIN| |14.55||||01/01/2020
04-3106156|1992826689|136|96171|96171 - HEALTH BEHAVIOR IVNTJ FAM W/O PT F2F EA ADDL 15| |57.43||||01/01/2020
04-3106156|1992826689|136|97129|97129 - THER IVNTJ COG FUNCJ CNTCT 1ST 15 MINUTES| |23.57||||01/01/2020
04-3106156|1992826689|136|97130|97130 - THER IVNTJ COG FUNCJ CNTCT EA ADDL 15 MINUTES| |22.85||||01/01/2020