TAX ID|NPI|SCHEDNO|NAME|SCH_NAME|CPTNO|CPT|MODIFIER|FULLAMT|PROFAMT|TECHAMT|ANESUNITS|BEGIN DATEDT
58-2205984|1982875373|120|SH OPTUM WOM/CH HEALTH|120-SH OPTUM WOM/CH HEALTH|S9560|S9560 - HT INJ HORMONE DIEM||200||||01/01/2017
58-2205984|1982875373|120|SH OPTUM WOM/CH HEALTH|120-SH OPTUM WOM/CH HEALTH|S9542|S9542 - HT INJ NOC PER DIEM||55||||01/01/2017
58-2205984|1982875373|120|SH OPTUM WOM/CH HEALTH|120-SH OPTUM WOM/CH HEALTH|S9470|S9470 - NUTRITIONAL COUNSELING| DIET||80||||01/01/2017
58-2205984|1982875373|120|SH OPTUM WOM/CH HEALTH|120-SH OPTUM WOM/CH HEALTH|S9379|S9379 - HIT NOC PER DIEM||165||||01/01/2017
58-2205984|1982875373|120|SH OPTUM WOM/CH HEALTH|120-SH OPTUM WOM/CH HEALTH|S9373|S9373 - HIT HYDRA TOTAL DIEM||110||||01/01/2017
58-2205984|1982875373|120|SH OPTUM WOM/CH HEALTH|120-SH OPTUM WOM/CH HEALTH|S9353|S9353 - HIT CONT INSULIN DIEM||175||||01/01/2017
58-2205984|1982875373|120|SH OPTUM WOM/CH HEALTH|120-SH OPTUM WOM/CH HEALTH|S9351|S9351 - HIT CONT ANTIEMETIC DIEM||435||||01/01/2017
58-2205984|1982875373|120|SH OPTUM WOM/CH HEALTH|120-SH OPTUM WOM/CH HEALTH|S9349|S9349 - HIT TOCOLYSIS DIEM||275||||01/01/2017
58-2205984|1982875373|120|SH OPTUM WOM/CH HEALTH|120-SH OPTUM WOM/CH HEALTH|S9336|S9336 - HIT CONT ANTICOAG DIEM||136||||01/01/2017
58-2205984|1982875373|120|SH OPTUM WOM/CH HEALTH|120-SH OPTUM WOM/CH HEALTH|S9214|S9214 - HM GEST DM PER DIEM||145||||01/01/2017
58-2205984|1982875373|120|SH OPTUM WOM/CH HEALTH|120-SH OPTUM WOM/CH HEALTH|S9213|S9213 - HM PREECLAMP PER DIEM||120||||01/01/2017
58-2205984|1982875373|120|SH OPTUM WOM/CH HEALTH|120-SH OPTUM WOM/CH HEALTH|S9211|S9211 - HOME MGMT GEST HYPERTENSION||55||||01/01/2017
58-2205984|1982875373|120|SH OPTUM WOM/CH HEALTH|120-SH OPTUM WOM/CH HEALTH|S9209|S9209 - HOME MGMT PPROM||250||||01/01/2017
58-2205984|1982875373|120|SH OPTUM WOM/CH HEALTH|120-SH OPTUM WOM/CH HEALTH|S9208|S9208 - HOME MGMT PRETERM LABOR||90||||01/01/2017
58-2205984|1982875373|120|SH OPTUM WOM/CH HEALTH|120-SH OPTUM WOM/CH HEALTH|S9145|S9145 - INSULIN PUMP INITIATION||150||||01/01/2017
58-2205984|1982875373|120|SH OPTUM WOM/CH HEALTH|120-SH OPTUM WOM/CH HEALTH|S9140|S9140 - DIABETIC MANAGEMENT PROGRAM||700||||01/01/2017
58-2205984|1982875373|120|SH OPTUM WOM/CH HEALTH|120-SH OPTUM WOM/CH HEALTH|S9123|S9123 - NURSING CARE IN HOME RN||105||||01/01/2017
58-2205984|1982875373|120|SH OPTUM WOM/CH HEALTH|120-SH OPTUM WOM/CH HEALTH|99601|99601 - HOME NFS/SPECTY DRUG ADMN PR VST </2 HR||105||||01/01/2017
58-2205984|1982875373|120|SH OPTUM WOM/CH HEALTH|120-SH OPTUM WOM/CH HEALTH|99506|99506 - HOME VISIT INTRAMUSCULAR INJECTIONS||105||||01/01/2017
58-2205984|1982875373|120|SH OPTUM WOM/CH HEALTH|120-SH OPTUM WOM/CH HEALTH|99500|99500 - HOME VISIT PRENATAL MONITORING & ASSESSMENT||150||||01/01/2017
58-2205984|1982875373|120|SH OPTUM WOM/CH HEALTH|120-SH OPTUM WOM/CH HEALTH|59025|59025 - FETAL NONSTRESS TEST||105||||01/01/2017