TAX ID|NPI|SCHEDNO|CPTNO|CPT|MODIFIER|FULLAMT|PROFAMT|TECHAMT|ANESUNITS|BEGIN DATE 04-3490832|1518976554|135|95700|95700 - EEG CONT REC W/VIDEO BY TECH MIN 8 CHANNELS| |124.33||||01/01/2020 04-3490832|1518976554|135|95705|95705 - EEG W/O VIDEO BY TECH 2-12 HR UNMONITORED| |79.58||||01/01/2020 04-3490832|1518976554|135|95706|95706 - EEG W/O VIDEO BY TECH 2-12 HR INTERMITTENT MNTR| |179.97||||01/01/2020 04-3490832|1518976554|135|95707|95707 - EEG W/O VIDEO BY TECH 2-12HR CONTINUOUS R-T MNTR| |273.59||||01/01/2020 04-3490832|1518976554|135|95708|95708 - EEG W/O VID BY TECH EA INCR 12-26HR UNMONITORED| |169||||01/01/2020 04-3490832|1518976554|135|95709|95709 - EEG W/O VID BY TECH EA INCR 12-26 HR INTMT MNTR| |373.25||||01/01/2020 04-3490832|1518976554|135|95710|95710 - EEG W/O VID TECH EA INCR 12-26 HR CONT R-T MNTR| |650.63||||01/01/2020 04-3490832|1518976554|135|95711|95711 - VEEG BY TECH 2-12 HOURS UNMONITORED| |158.39||||01/01/2020 04-3490832|1518976554|135|95712|95712 - VEEG BY TECH 2-12 HR INTERMITTENT MONITORING| |233.42||||01/01/2020 04-3490832|1518976554|135|95713|95713 - VEEG BY TECH 2-12 HR CONTINUOUS R-T MONITORING| |326.27||||01/01/2020 04-3490832|1518976554|135|95714|95714 - VEEG BY TECH EA INCR 12-26 HR UNMONITORED| |254.27||||01/01/2020 04-3490832|1518976554|135|95715|95715 - VEEG BY TECH EA INCR 12-26 HR INTERMITTENT MNTR| |411.15||||01/01/2020 04-3490832|1518976554|135|95716|95716 - VEEG BY TECH EA INCR 12-26 HR CONT R-T MNTR| |653.25||||01/01/2020 04-3490832|1518976554|135|95717|95717 - EEG PHYS/QHP 2-12 HR WITHOUT VIDEO| |101.49||||01/01/2020 04-3490832|1518976554|135|95718|95718 - EEG PHYS/QHP 2-12 HR WITH VEEG| |132.9||||01/01/2020 04-3490832|1518976554|135|95719|95719 - EEG PHYS/QHP EA INCR>12HR<26HR AFTER 24HR WO VID| |157.15||||01/01/2020 04-3490832|1518976554|135|95720|95720 - EEG PHYS/QHP EA INCR>12HR<26HR AFTER 24HR W/VEEG| |205.77||||01/01/2020 04-3490832|1518976554|135|95721|95721 - EEG COMPLETE STD PHYS/QHP>36 HR<60 HR W/O VIDEO| |206.41||||01/01/2020 04-3490832|1518976554|135|95722|95722 - EEG COMPLETE STD PHYS/QHP>36 HR<60 HR W/VEEG| |251.09||||01/01/2020 04-3490832|1518976554|135|95723|95723 - EEG COMPLETE STD PHYS/QHP>60 HR<84 HR W/O VIDEO| |255.54||||01/01/2020 04-3490832|1518976554|135|95724|95724 - EEG COMPLETE STD PHYS/QHP>60 HR<84 HR W/VEEG| |320.15||||01/01/2020 04-3490832|1518976554|135|95725|95725 - EEG COMPLETE STD PHYS/QHP>84 HR W/O VID| |290.73||||01/01/2020 04-3490832|1518976554|135|95726|95726 - EEG COMPLETE STD PHYS/QHP>84 HR W/VEEG| |404.56||||01/01/2020 04-3490832|1518976554|135|95800|95800 - SLP STDY UNATND W/HRT RATE/O2 SAT/RESP/SLP TIME| |158.6|42.22|||01/01/2020 04-3490832|1518976554|135|95805|95805 - MLT SLEEP LATENCY/MAINT OF WAKEFULNESS TSTG| |389.7|59.11|||01/01/2020 04-3490832|1518976554|135|95806|95806 - SLEEP STD AIRFLOW HRT RATE&O2 SAT EFFORT UNATT| |130.06|49.32|||01/01/2020 04-3490832|1518976554|135|95810|95810 - POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND| |572.48|121.57|||01/01/2020 04-3490832|1518976554|135|95811|95811 - POLYSOM 6/>YRS SLEEP W/CPAP 4/> ADDL PARAM ATTND| |600.12|126.14|||01/01/2020 04-3490832|1518976554|135|96156|96156 - HEALTH BEHAVIOR ASSESSMENT/RE-ASSESSMENT| |89.27||||01/01/2020 04-3490832|1518976554|135|96158|96158 - HEALTH BEHAVIOR IVNTJ INDIV F2F 1ST 30 MIN| |60.85||||01/01/2020 04-3490832|1518976554|135|96159|96159 - HEALTH BEHAVIOR IVNTJ INDIV F2F EA ADDL 15 MIN| |21||||01/01/2020 04-3490832|1518976554|135|96164|96164 - HEALTH BEHAVIOR IVNTJ GROUP F2F 1ST 30 MIN| |8.9||||01/01/2020 04-3490832|1518976554|135|96165|96165 - HEALTH BEHAVIOR IVNTJ GROUP F2F EA ADDL 15 MIN| |3.93||||01/01/2020 04-3490832|1518976554|135|96167|96167 - HEALTH BEHAVIOR IVNTJ FAM W/PT F2F 1ST 30 MIN| |65.14||||01/01/2020 04-3490832|1518976554|135|96168|96168 - HEALTH BEHAVIOR IVNTJ FAM W/PT F2F EA ADD 15 MIN| |23.13||||01/01/2020 04-3490832|1518976554|135|96170|96170 - HEALTH BEHAVIOR IVNTJ FAM W/O PT F2F 1ST 30 MIN| |14.55||||01/01/2020 04-3490832|1518976554|135|96171|96171 - HEALTH BEHAVIOR IVNTJ FAM W/O PT F2F EA ADDL 15| |57.43||||01/01/2020 04-3490832|1518976554|135|97129|97129 - THER IVNTJ COG FUNCJ CNTCT 1ST 15 MINUTES| |23.57||||01/01/2020 04-3490832|1518976554|135|97130|97130 - THER IVNTJ COG FUNCJ CNTCT EA ADDL 15 MINUTES| |22.85||||01/01/2020 04-3490832|1518976554|135|G0399|G0399 - HOME SLEEP TEST/TYPE 3 PORTA| |130.06|49.32|||01/01/2020